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

Genesiscare USA of Florida LLC

Organization Surgery Physician · NPI 1336509546

Genesiscare USA of Florida LLC is a Surgery Physician in Niceville, Florida. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

550 Twin Cities Blvd Ste C
Niceville, FL 32578-1050
Phone: (850) 678-6601
Fax: (850) 678-0842
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1336509546
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGenesiscare USA Inc
Authorized official Ian Wong — Cfo · (303) 249-7486
Other names W Michael Haney Md; W Michael Haney Md
NPI enumeratedMarch 1, 2016
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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