Genesiscare USA of Florida LLC

NPI #1841580917 in Miramar, Florida

Provider Information

NPI Number: 1841580917
Entity Type: Organization
Organization Name: Genesiscare USA of Florida LLC
Subpart: Yes (part of a larger organization)
Parent Organization: GENESISCARE USA INC
Primary Specialty: Urology
Enumeration Date: Apr 11, 2011
Last Updated: Nov 3, 2025

Practice Location

Address: 1951 SW 172ND AVE STE 300
City: Miramar
State: Florida
ZIP Code: 33029-5614
Phone: (954) 499-7696

Authorized Official

Name: IAN WONG
Title: CFO
Phone: (303) 249-7486

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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