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 1417220054

Genesiscare USA of Florida LLC is an Urology Physician in Pembroke Pines, Florida. Registered with an NPI since 2012.

In the registry since
2012
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

600 N Hiatus Rd Ste 209
Pembroke Pines, FL 33026-5207
Phone: (954) 965-9860
Fax: (954) 965-9870
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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 number1417220054
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGenesiscare USA Inc
Authorized official Shaden Marzouk — President · (239) 931-7254
Other names Vanguard Urology; Vanguard Urology
NPI enumeratedFebruary 13, 2012
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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