The Colorectal Institute

LBN: Genesiscare Usa Of Florida Llc
The Colorectal Institute is an health care organization with primary practice located at 13770 Plantation Rd Ste 2 , Fort Myers FL 33912-4460. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as the primary health care specialty. Genesiscare Usa Of Florida Llc can be contacted via phone (239) 275-0728, or through Marzouk, Shaden via phone (239) 931-7254.

Contact Information

Primary practice address
13770 Plantation Rd Ste 2 Fort Myers FL 33912-4460
Phone: (239) 275-0728
Fax: (293) 275-6947
Website:
Map and Directions
Authorized official contact:
Name: Marzouk, Shaden
Phone: (239) 931-7254

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X

Profile Details

NPI number 1881639482
LBN Legal business name Genesiscare Usa Of Florida Llc
DBA Doing business as The Colorectal Institute
Authorized official Marzouk, Shaden
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 18th, 2006
Last updated Oct 5th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881639482 NPPES
Florida MEDICAID 060239634
Florida MEDICAID 060239635
Florida MEDICAID 060239645
Florida Other CE7138

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