Organization · NPI-2

Genesiscare USA Of Florida LLC

Urology · Tamarac, FL

NPI number1225407174
StatusActive
Last updated in NPPESJun 22, 2023

Details

NPI
1225407174
Entity type
Organization (NPI-2)
Legal business name
Genesiscare USA Of Florida LLC
Organization subpart
Yes
Enumeration date
Sep 22, 2015
Certification date
Jun 22, 2023
Last updated
Jun 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology––Yes

Other names

  • Streisand Urology (Doing Business As)

Practice location

7421 N University Dr
Suite 106
Tamarac, FL 33321-2977

Phone 954-772-0150 · Fax 954-722-0188

Mailing address

2270 Colonial Blvd
Fort Myers, FL 33907-1412

Phone 239-931-7342 · Fax 239-931-7385

Authorized official

Shaden Marzouk
President
2399317254

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Urology providers in Tamarac, FL