Genesiscare USA of Florida LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

GENESISCARE USA OF FLORIDA LLC

Practice address

200 3Rd Ave W
Suite 210
Bradenton, FL 34205-8626

Phone

(941) 792-0340

Fax

(941) 794-2251

NPI assigned

Feb 23, 2012

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

• Urology Partners Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean Alexander Castellucci, D.O.

  • Urology Physician
  • Bradenton, FL
  • NPI 1487869400
  NPD
• Sarah Curtis, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Sarasota, FL
  • NPI 1740007285
  NPD
• Amy Nicole Ferraro, MSN FNP-BC

  • Family Nurse Practitioner
  • Sarasota, FL
  • NPI 1144114281
  NPD
• Ricardo Dario Gonzalez, M.D.

  • Urology Physician
  • Bradenton, FL
  • NPI 1992071252
  NPD
• Mark P Weintraub, MD

  • Urology Physician
  • Bradenton, FL
  • NPI 1053342386
  NPD

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1780957696",
    "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": "200 3RD AVE W",
            "address_2": "SUITE 210",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058626",
            "telephone_number": "941-792-0340",
            "fax_number": "941-794-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESISCARE USA OF FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESISCARE USA INC",
        "enumeration_date": "2012-02-23",
        "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": "208800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urology Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Urology Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy M Gaze, APRN
• Shane Thomas Geffe, MD
• Patricia S. Genao, LCSW
• General Pharmacies Inc
• General Pharmacies Inc.
• Genesiscare USA of Florida, LLC
• Genevieve Duremdez Flexicare Physical Therapy
• Erin Eddy Gennocro, ARNP
• Genoa Healthcare LLC
• Gentletouch Homemaker and Companion Services LLC

• Urology Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Urology 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.