| NPI | 1043986284 |
|---|---|
| Doing Business As | GENESISCARE UROLOGY |
| Entity Type | Organization |
| Authorized Contact | SHADEN MARZOUK President 239-931-7254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2023-09-25 |