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 1790042711

Genesiscare USA of Florida LLC is a Surgery Physician in Niceville, 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

554 Twin Cities Blvd Ste C
Niceville, FL 32578-1058
Phone: (850) 729-4054
Fax: (850) 389-2220
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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 number1790042711
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGenesiscare USA Inc
Authorized official Shaden Marzouk — President · (239) 931-7254
Other names Robert E. Hruby Md; Robert E. Hruby Md
NPI enumeratedApril 16, 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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