Active NPI
Genesiscare USA of Florida LLC
- Urology Physician
- Lake Worth, FL
National Provider Identifier
1184095234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- GENESISCARE USA OF FLORIDA LLC
- Doing business as
- Urologic Specialists
- Practice address
- 5065 S State Road 7 Ste 203
Lake Worth, FL 33449-5439 - Phone
- (561) 432-0067
- Fax
- (561) 432-0066
- NPI assigned
- Oct 15, 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
5065 S State Road 7 Ste 203
Lake Worth, FL 33449-5439
Mailing address
1419 SE 8TH Ter Ste 200
Cape Coral, FL 33990-3213
Phone (239) 931-7342
Other names 1
- Urologic Specialists
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
5065 S State Road 7
Ste 203
Lake Worth, FL 33449
Phone (561) 432-0067
12309 Pembroke Rd
Pembroke Pines, FL 33025
Phone (954) 392-4750
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- Hialeah, FL
- NPI 1144268590
-
- Urology Physician
- Weston, FL
- NPI 1639598279
-
- Urology Physician
- Lake Worth, FL
- NPI 1639171986
-
- Urology Physician
- Aventura, FL
- NPI 1174587604
-
- Medical Oncology Physician
- Hollywood, FL
- NPI 1134186729
-
- Radiation Oncology Physician
- Wellington, FL
- NPI 1841419850
-
- Urology Physician
- Naples, FL
- NPI 1932168267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762128000000",
"number": "1184095234",
"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": "5065 S STATE ROAD 7 STE 203",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334495439",
"telephone_number": "561-432-0067",
"fax_number": "561-432-0066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESISCARE USA OF FLORIDA LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GENESISCARE USA INC",
"enumeration_date": "2015-10-15",
"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": "Urologic Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Worth, FL
- Gemini Ambulatory Surgical Center Incorporated
- Gemma Banez Physical Therapy,PA
- Gen-X Construction Inc.
- Genes Statewide Services LLC
- Genesis House Recovery Residence Inc.
- Geneva White DMD PA
- Gensis House Recovery Residence Inc.
- Gentle Loving Home Care LLC
- Delphy Binoo George, NP
- Agathe Georges, FNP-C
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.