Genesiscare USA of Florida LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

GENESISCARE USA OF FLORIDA LLC

Practice address

10335 N Military TRL
Suite C
Palm Beach Gardens, FL 33410-4634

Phone

(561) 296-2556

Fax

(561) 209-2470

NPI assigned

Sep 16, 2015

Organization subpart

Yes

Parent organization

GENESISCARE USA INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shaden Marzouk

Title

President

Phone

(239) 931-7254

Specialties & licenses 1

Addresses

Other names 1

• Sandra P Sanchez DO Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Genesiscare USA of Florida LLC72 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• 21St Centrury Oncology LLC

  • Urology Physician
  • North Fort Myers, FL
  • NPI 1255574190
  NPD tax ID
• 21St Century Oncology LLC

  • Urology Physician
  • Bradenton, FL
  • NPI 1013291913
  NPD tax ID
• 21St Century Oncology LLC

  • Urology Physician
  • Sunny Isles Beach, FL
  • NPI 1326416017
  NPD tax ID
• 21St Century Oncology LLC

  • Urology Physician
  • Tamarac, FL
  • NPI 1376730416
  NPD tax ID
• 21St Century Oncology LLC

  • Urology Physician
  • Sarasota, FL
  • NPI 1417086703
  NPD tax ID
• 21St Century Oncology LLC

  • Urology Physician
  • Jupiter, FL
  • NPI 1447629936
  NPD tax ID
• Genesiscare USA of Florida LLC

  • Urology Physician
  • Port Charlotte, FL
  • NPI 1043465099
  NPD tax ID
• Genesiscare USA of Florida LLC

  • Urology Physician
  • Fort Myers, FL
  • NPI 1043986284
  NPD tax ID
• Genesiscare USA of Florida LLC

  • Surgery Physician
  • Venice, FL
  • NPI 1124304084
  NPD tax ID
• Genesiscare USA of Florida LLC

  • Surgery Physician
  • Fort Myers, FL
  • NPI 1225354350
  NPD tax ID
• Genesiscare USA of Florida LLC

  • Urology Physician
  • Tamarac, FL
  • NPI 1225407174
  NPD tax ID
• Genesiscare USA of Florida LLC

  • Urology Physician
  • Pembroke Pines, FL
  • NPI 1275124224
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1326417700",
    "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": "10335 N MILITARY TRL",
            "address_2": "SUITE C",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104634",
            "telephone_number": "561-296-2556",
            "fax_number": "561-209-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESISCARE USA OF FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESISCARE USA INC",
        "enumeration_date": "2015-09-16",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "MARZOUK",
        "authorized_official_first_name": "SHADEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-931-7254"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandra P Sanchez DO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sandra P Sanchez DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carmen Farro Gehrke, LPC, LPCMH
• Amari Gelin
• General Surgery of Jupiter Medical Specialists, LLC
• General Surgery of Jupiter Medical Specialists, LLC
• General Surgery of Jupiter Medical Specialists, LLC
• Genoa Healthcare LLC
• Joseph Frank Gentile IV, DPT
• Justin Spencer Geoffrion, PHARM.D.
• George L Schmidt OD PA
• Antonia George, LMFT, PHD

• All providers in Palm Beach Gardens, FL
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.

Verify at the official NPI Registry.