Organization · NPI-2

Genesiscare USA Of Florida LLC

Urology · Bradenton, FL

NPI number1780957696
StatusActive
Last updated in NPPESOct 5, 2023

Details

NPI
1780957696
Entity type
Organization (NPI-2)
Legal business name
Genesiscare USA Of Florida LLC
Organization subpart
Yes
Enumeration date
Feb 23, 2012
Certification date
Oct 5, 2023
Last updated
Oct 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology––Yes

Other names

  • Urology Partners (Doing Business As)

Practice location

200 3rd Ave W
Suite 210
Bradenton, FL 34205-8626

Phone 941-792-0340 · Fax 941-794-2251

Mailing address

1419 Se 8th Ter Ste 200
Cape Coral, FL 33990-3213

Phone 239-931-7342 · Fax 239-931-7385

Authorized official

Shaden Marzouk
President
2399317254

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