Genesiscare USA of Florida LLC

NPI #1427677038 in Destin, Florida

Provider Information

NPI Number: 1427677038
Entity Type: Organization
Organization Name: Genesiscare USA of Florida LLC
Subpart: Yes (part of a larger organization)
Parent Organization: GENESISCARE USA INC.
Primary Specialty: Surgery
Enumeration Date: Apr 14, 2020
Last Updated: Jan 31, 2025

Practice Location

Address: 36468 EMERALD COAST PKWY STE 11103
City: Destin
State: Florida
ZIP Code: 32541-0741
Phone: (850) 660-5204

Authorized Official

Name: SHADEN MARZOUK
Title: PRESIDENT
Phone: (239) 931-7254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Colon & Rectal Surgery	208C00000X
General Practice	208D00000X
Surgery	208600000X	Primary

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