MEDICARE: GENESISCARE USA OF FLORIDA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CE7138	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841580917
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENESISCARE USA OF FLORIDA LLC

Provider Business Mailing Address
First Line	:	1419 SE 8TH TER STE 200
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-3213
Country	:	US
Telephone Number	:	239-931-7342
Fax Number	:	239-931-7385

Provider Business Practice Location Address
First Line	:	1951 SW 172ND AVE STE 300
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33029-5614
Country	:	US
Telephone Number	:	954-499-7696
Fax Number	:	954-499-7699

Authorized Official
Title or Position	:	CFO
Name	:	IAN WONG
Credential	:
Telephone Number	:	303-249-7486

Provider Enumeration Date	:	04/11/2011
Last Update Date	:	11/03/2025

Similar Medicare Providers

1376919621 — LOREEN RUIZ APRN
Practice Location Address:

1951 SW 172ND AVE STE 308
MIRAMAR, FL
33029-5614

Practice Phone: 954-431-1904
Practice Fax: 954-431-1914

1376777037 — LINA MARIA ECHAVARRIA M.D
Practice Location Address:

1951 SW 172ND AVE STE 412
MIRAMAR, FL
33029-5614

Practice Phone: 954-702-4232
Practice Fax: 844-235-8407

1871892679 — FLORIDA WOMAN CARE, LLC
Practice Location Address:

1951 SW 172ND AVE , SUITE 309
MIRAMAR, FL
33029-5614

Practice Phone: 954-447-2704
Practice Fax: 954-447-2708

1255624219 — ESTHER OZERYANSKY M.D.
Practice Location Address:

1951 SW 172ND AVE STE 313
MIRAMAR, FL
33029-5614

Practice Phone: 954-265-4325
Practice Fax: 954-538-5558

1235418682 — JENNIFER ANN BAKER ARNP
Practice Location Address:

1951 SW 172ND AVE STE 404
MIRAMAR, FL
33029-5614

Practice Phone: 954-265-7900
Practice Fax: 954-893-6361

1053680496 — PAOLA CASANOVA MD
Practice Location Address:

1951 SW 172ND AVE STE 404
MIRAMAR, FL
33029-5614

Practice Phone: 954-265-7900
Practice Fax: 954-893-6361

Directions to “GENESISCARE USA OF FLORIDA LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.