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 Surgery Physician · NPI 1467889667

Genesiscare USA of Florida LLC is a Surgery Physician in Port Charlotte, Florida. Registered with an NPI since 2013.

In the registry since
2013
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

18308 Murdock Cir Ste 105
Port Charlotte, FL 33948-1025
Phone: (941) 743-4150
Fax: (941) 743-4427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1467889667
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGenesiscare USA Inc
Authorized official Shaden Marzouk — President · (239) 931-7254
Other names Matthew R Bagan Do; Matthew R Bagan Do
NPI enumeratedOctober 2, 2013
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 28, 2023
Mailing address1419 Se 8th Ter Ste 200, Cape Coral, FL 33990-3213

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