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 1891036810

Genesiscare USA of Florida LLC is a Surgery Physician in Fort Myers, 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

13691 Metro Pkwy Ste 350 Metro Medical Plaza
Fort Myers, FL 33912-4351
Phone: (239) 768-5313
Fax: (239) 768-9559
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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 number1891036810
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGenesiscare USA Inc
Authorized official Shaden Marzouk — President · (239) 931-7254
Other names Lawrence R. Black, Do; Lawrence R. Black, Do
NPI enumeratedMarch 15, 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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