Genesiscare USA of Florida LLC
Genesiscare USA of Florida LLC is a Surgery Physician in Destin, Florida. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
36468 Emerald Coast Pkwy Ste 11103Destin, FL 32541-0741
Phone: (850) 660-5204
Fax: (850) 660-5206
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X |
|---|---|
| Colon & Rectal Surgery Physician | Taxonomy 208C00000X |
| General Practice Physician | Taxonomy 208D00000X |
Record details
| NPI number | 1427677038 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Genesiscare USA Inc |
| Authorized official | Shaden Marzouk — President · (239) 931-7254 |
| Other names | Thomas J. Shaknovsky, Do |
| NPI enumerated | April 14, 2020 |
| Last updated in NPPES | January 31, 2025 |
| Certification date | January 31, 2025 |
| Mailing address | 1419 Se 8th Ter Ste 200, Cape Coral, FL 33990-3213 |
Other providers in Destin
-
James A. Moody, MD
415 Mountain Dr Ste # 6, Destin, FL 32541-7327 · (850) 837-8831