GENESISCARE USA OF FLORIDA LLC

FORT WALTON BEACH, FL
NPI1427339399
Doing Business AsBASIL D FOSSUM MD
Entity TypeOrganization
Authorized ContactDAN COLLINS
President
239-931-7275
Organization Subpart ?Yes
Primary Taxonomy208800000X Urology
Enumeration Date2011-09-06
Last Update Date2020-08-24
Business Address
GENESISCARE USA OF FLORIDA LLC
914 MAR WALT DR SUITE B
FORT WALTON BEACH, FL 32547-6706
Phone number: 850-226-6572
Mailing Address
GENESISCARE USA OF FLORIDA LLC
2160 COLONIAL BLVD
FORT MYERS, FL 33907-1410
Phone number: 239-931-7342
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