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

Genesiscare USA of Florida LLC

Organization Urology Physician · NPI 1255741880

Genesiscare USA of Florida LLC is an Urology Physician in Port Charlotte, Florida. Registered with an NPI since 2014.

In the registry since
2014
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

21260 Olean Blvd Ste 202A
Port Charlotte, FL 33952-6742
Phone: (941) 625-1550
Fax: (941) 255-0794
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1255741880
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGenesiscare USA Inc
Authorized official Shaden Marzouk — President · (239) 931-7254
Other names Gulf Coast Urology; Gulf Coast Urology
NPI enumeratedMay 5, 2014
Last updated in NPPESOctober 5, 2023
Certification dateOctober 5, 2023
Mailing address1419 Se 8th Ter Ste 200, Cape Coral, FL 33990-3213

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