Active NPI
Genesiscare USA of Florida LLC
- Urology Physician
- Coral Springs, FL
National Provider Identifier
1013386952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- GENESISCARE USA OF FLORIDA LLC
- Practice address
- 1725 N University Dr
Suite 400
Coral Springs, FL 33071-6089 - Phone
- (954) 752-3166
- Fax
- (954) 753-5628
- NPI assigned
- Sep 22, 2015
- Organization subpart
- Yes
- Parent organization
- GENESISCARE USA INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ian Wong
- Title
- Cfo
- Phone
- (303) 249-7486
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
1725 N University Dr
Suite 400
Coral Springs, FL 33071-6089
Mailing address
1419 SE 8TH Ter Ste 200
Cape Coral, FL 33990-3213
Phone (239) 931-7342
Other names 1
- Springs Urology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040204000663 | FL | Part B Supplier - Clinic/Group Practice | 9830082882 |
Receives reassigned benefits from 314 practitioners This NPI is an additional NPI on the enrollment |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0698601 | Genesiscare USA of Florida, LLC | Certificate of waiver | Aug 17, 2027 |
National Provider Directory
National Provider DirectoryNetworks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Pembroke Pines, FL
- NPI 1588640056
-
- Pulmonary Disease Physician
- Fort Myers, FL
- NPI 1093818262
-
- Radiation Oncology Physician
- Mount Kisco, NY
- NPI 1902291412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762128000000",
"number": "1013386952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 SE 8TH TER STE 200",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339903213",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 N UNIVERSITY DR",
"address_2": "SUITE 400",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330716089",
"telephone_number": "954-752-3166",
"fax_number": "954-753-5628"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESISCARE USA OF FLORIDA LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GENESISCARE USA INC",
"enumeration_date": "2015-09-22",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A",
"authorized_official_last_name": "WONG",
"authorized_official_first_name": "IAN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "303-249-7486"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Springs Urology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Coral Springs, FL
- Steven David Gelbard, M.D.
- Mark Andrew Gendal, O.D.
- Generations Therapy, Inc.
- Generations Therapy, Inc.
- Genesis Medical Center Coral Springs, Inc.
- Genesiscare USA of Florida LLC
- Genesiscare USA of Florida LLC
- Genesiscare USA of Florida LLC
- Gentle Teeth of Coralsprings and Parkland
- Gentle Touch Breast Diagnostics, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.