Organization
GENESISCARE USA OF FLORIDA LLC
Active
Parent organization
GENESISCARE USA, INC.
Other names
GenesisCare Gulf Coast Breast Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESISCARE USA, INC.
Authorized official
IAN WONG (CFO)
(303) 249-7486
Entity
Organization
Contact information
Practice address
195 CENTER RD STE B, VENICE, FL 34285-5565
(941) 492-6227
(941) 492-6335
Mailing address
1419 SE 8TH TER STE 200, CAPE CORAL, FL 33990-3213
(238) 931-7342
(238) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
06/15/2023
Last updated
11/03/2025
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