GENESISCARE USA OF FLORIDA LLC – NPI #1427677038
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Health Care Provider Taxonomy Code for Surgery

GENESISCARE USA OF FLORIDA LLC is a surgeon located in DESTIN, FL. NPPES has assigned the NPI number 1427677038 to GENESISCARE USA OF FLORIDA LLC on April 14, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was last updated on Jan 31, 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
1427677038
Enumeration Date

(more than 6 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
Other name(s)
All associated names:

Doing Business As (dba)
Thomas J. Shaknovsky, DO
Primary location
36468 EMERALD COAST PKWY STE 11103
DESTIN, FL 32541-0741
Phone: (850) 660-5204 Fax: (850) 660-5206
Mailing address
1419 SE 8TH TER STE 200
CAPE CORAL, FL 33990-3213
Phone: (239) 931-7342 Fax: (239) 931-7385
Organization Subpart
Yes - GENESISCARE USA OF FLORIDA LLC is subpart of another organization.
Authorized Official
SHADEN MARZOUK
PRESIDENT
Phone: (239) 931-7254
Updated
Certification Date
Jan 31, 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
208600000X
- Surgery (Primary)
208D00000X
- General Practice
208C00000X
- Colon & Rectal Surgery

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.