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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 Specialty Code Provider Type

Gynecologic Oncology

207VX0201X 16 Physician/Obstetrics & Gynecology
 

Radiation Oncology

2085R0203X
Indicates primary specialty

NPI Profile & details for GENESISCARE USA OF FLORIDA LLC

NPI # 1316981194
LBN Legal business name GENESISCARE USA OF FLORIDA LLC
Authorized official IAN WONG - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/15/2006
Last updated 11/03/2025 - About 7 months ago
Identifiers
FL Medicaid 060239613
FL Medicaid 060239618
FL Other CE7138 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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