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Contact Information

GENESISCARE USA OF FLORIDA LLC
7341 GLADIOLUS DR
FORT MYERS, FL33908-5122
 Phone: 239-489-3420
 Fax: 239-489-3219
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
 

Radiation Oncology

2085R0203X
 

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
 

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for GENESISCARE USA OF FLORIDA LLC

NPI Number 1134109747
LBN Legal business name GENESISCARE USA OF FLORIDA LLC
Authorized official IAN WONG - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/19/2006
Last updated 11/03/2025 - About 7 months ago
Identifiers
FL Medicaid 060239600
FL Medicaid 060239601
FL Medicaid 060239602
FL Medicaid 060239604
FL Medicaid 060239605
FL Medicaid 060239606
FL Medicaid 060239607
FL Medicaid 060239608
FL Medicaid 060239609
FL Medicaid 060239611
FL Medicaid 060239612
FL Medicaid 060239615
FL Medicaid 060239616
FL Medicaid 060239617
FL Medicaid 060239619
FL Medicaid 060239621
FL Other CE7138 RAILROAD MEDICARE
FL Other CE9586 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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