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 1336642545

Genesiscare USA of Florida LLC provides Surgery Physician services in Fort Myers, Florida. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7451 Gladiolus Dr
Fort Myers, FL 33908-5193
Phone: (239) 931-7212
Fax: (239) 931-7385
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 number1336642545
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGenesiscare USA Inc
Authorized official Dan Collins — President · (239) 931-7275
Other names Blackwell Breast Surgery; Blackwell Breast Surgery
NPI enumeratedMarch 14, 2018
Last updated in NPPESSeptember 30, 2021
Certification dateAugust 24, 2020
Mailing address2270 Colonial Blvd, Fort Myers, FL 33907-1412

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