GENESISCARE USA OF FLORIDA LLC – NPI #1174915748
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Health Care Provider Taxonomy Code for Urology

GENESISCARE USA OF FLORIDA LLC is an urologist located in CAPE CORAL, FL. NPPES has assigned the NPI number 1174915748 to GENESISCARE USA OF FLORIDA LLC on February 19, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

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
1174915748
Enumeration Date

(more than 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
2721 DEL PRADO BLVD S STE 230B
CAPE CORAL, FL 33904-5781
Phone: (239) 458-1196 Fax: (239) 458-1345
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
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
208800000X
- Urology (Primary)

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.