Active NPI
Genesiscare USA of Florida LLC
- Urology Physician
- Fort Myers, FL
National Provider Identifier
1114076171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- GENESISCARE USA OF FLORIDA LLC
- Doing business as
- Florida Urology Physicians
- Practice address
- 7451 Gladiolus Dr
Fort Myers, FL 33908-5193 - Phone
- (239) 689-8800
- Fax
- (239) 790-5471
- NPI assigned
- Jan 9, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary | ||
| Colon & Rectal Surgery Physician | 208C00000X | |||
| General Practice Physician | 208D00000X |
Addresses
Primary practice location
7451 Gladiolus Dr
Fort Myers, FL 33908-5193
Mailing address
1419 SE 8TH Ter Ste 200
Cape Coral, FL 33990-3213
Phone (239) 931-7342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CE7138 | Other | FL | RAILROAD MEDICARE |
Other names 1
- Florida Urology Physicians
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 |
National Provider Directory
National Provider DirectoryLocations
8991 Brighton Ln
Ste 100
Bonita Springs, FL 34135
7451 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 949-0742
100 Madrid Blvd
Unit 113
Punta Gorda, FL 33950
Phone (941) 205-5205
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Fort Myers, FL
- NPI 1538185939
-
- Urology Physician
- Fort Myers, FL
- NPI 1851483713
-
- Radiation Oncology Physician
- Sarasota, FL
- NPI 1366424533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762128000000",
"number": "1114076171",
"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": "7451 GLADIOLUS DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339085193",
"telephone_number": "239-689-8800",
"fax_number": "239-790-5471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESISCARE USA OF FLORIDA LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GENESISCARE USA INC.",
"enumeration_date": "2007-01-09",
"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
},
{
"code": "208C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Colon & Rectal Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CE7138",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Florida Urology Physicians",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Florida Urology Physicians",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Myers, FL
- Genesis Counseling Center
- Genesiscare of Florida LLC
- Genesiscare USA of Florida LLC
- Genesiscare USA of Florida LLC
- Genesiscare USA of Florida LLC
- Genesiscare USA of Florida LLC
- Genesiscare USA of Florida LLC
- Genesiscare USA of Florida LLC
- Genesiscare USA of Florida LLC
- Genesiscare USA of Florida LLC
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.