GENESISCARE USA OF FLORIDA LLC – NPI #1710360508
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Health Care Provider Taxonomy Code for Internal Medicine

GENESISCARE USA OF FLORIDA LLC is a provider located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1710360508 to GENESISCARE USA OF FLORIDA LLC on June 30, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was last updated on Nov 03, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GENESISCARE USA OF FLORIDA LLC below.

NPI Profile for
GENESISCARE USA OF FLORIDA LLC

NPI Number
1710360508
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GENESISCARE USA OF FLORIDA LLC
Primary location
425 N LEE ST STE 104
JACKSONVILLE, FL 32204-1128
Phone: (904) 805-7050 Fax: (904) 805-7047
Mailing address
2270 COLONIAL BLVD
FORT MYERS, FL 33907-1412
Phone: (239) 931-7342 Fax: (239) 931-7385
Organization Subpart
Yes - GENESISCARE USA OF FLORIDA LLC is subpart of another organization.
Authorized Official
IAN WONG
CFO
Phone: (303) 249-7486
Updated
Certification Date
Nov 03, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)
207RH0000X
- Internal Medicine / Hematology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.