Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Genesiscare USA of Florida LLC

Organization Surgery Physician · NPI 1336509546

Genesiscare USA of Florida LLC provides Surgery Physician services in Niceville, Florida. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

550 Twin Cities Blvd Ste C
Niceville, FL 32578-1050
Phone: (850) 678-6601
Fax: (850) 678-0842
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1336509546
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGenesiscare USA Inc
Authorized official Ian Wong — Cfo · (303) 249-7486
Other names W Michael Haney Md; W Michael Haney Md
NPI enumeratedMarch 1, 2016
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025
Mailing address1419 Se 8th Ter Ste 200, Cape Coral, FL 33990-3213

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