Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesiscare of Florida LLC

Organization Otolaryngology Physician · NPI 1528442332

Genesiscare of Florida LLC is an Otolaryngology Physician in Fort Myers, Florida. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4571 Colonial Blvd Ste 110
Fort Myers, FL 33966-1156
Phone: (239) 790-3480
Fax: (239) 244-2049
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery within the Head & Neck (Otolaryngology) Physician (primary) Taxonomy 207YX0007X
Otolaryngology Physician Taxonomy 207Y00000X

Record details

NPI number1528442332
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGenesiscare USA Inc
Authorized official Ian Wong — Cfo · (303) 249-7486
Other names Head & Neck Surgical Cancer Specialists Of Sw Florida; Head & Neck Surgical Cancer Specialists Of Sw Florida
NPI enumeratedJuly 13, 2015
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025
Mailing address1419 Se 8th Ter Ste 200, Cape Coral, FL 33990-3213

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