National Provider Identifier Database

GENESISCARE USA OF FLORIDA LLC
Gynecologic Oncology

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.


Contact Information

GENESISCARE USA OF FLORIDA LLC
8931 COLONIAL CENTER DR STE 400
FORT MYERS, FL33905-7809
Phone: 239-334-6626
Fax: 239-334-0404
Website:
Specialty Taxonomy Code
* Gynecologic Oncology 207VX0201X
Radiation Oncology 2085R0203X

* Indicates primary specialty

NPI Profile & details for GENESISCARE USA OF FLORIDA LLC

NPI Number 1316981194
Legal business name
LBN
GENESISCARE USA OF FLORIDA LLC
Authorized official IAN WONG - (CFO)
Entity Organization
Organization subpart Yes
Enumeration date 06/15/2006
Last updated 11/03/2025 - About 7 months ago
Sole proprietor1 Not specified
Identifiers
  • FL Medicaid: 060239613
  • FL Medicaid: 060239618
  • FL Other: CE7138 RAILROAD MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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