| NPI | 1902580293 |
|---|---|
| Doing Business As | GENESISCARE GULF COAST BREAST CENTER |
| Entity Type | Organization |
| Authorized Contact | SHADEN MARZOUK President 239-931-7254 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2025-01-31 |