Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesiscare USA of Florida LLC

Organization Surgery Physician · NPI 1902580293

Genesiscare USA of Florida LLC is a Surgery Physician in Venice, Florida. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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

195 Center Rd Ste B
Venice, FL 34285-5565
Phone: (941) 492-6227
Fax: (941) 492-6335
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1902580293
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGenesiscare USA, Inc
Authorized official Ian Wong — Cfo · (303) 249-7486
Other names Genesiscare Gulf Coast Breast Center; Genesiscare Gulf Coast Breast Center
NPI enumeratedJune 15, 2023
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025
Mailing address1419 Se 8th Ter Ste 200, Cape Coral, FL 33990-3213

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