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

Genesiscare USA of Florida LLC

Organization Surgery Physician · NPI 1467889667

Genesiscare USA of Florida LLC provides Surgery Physician services in Port Charlotte, Florida. Registered with an NPI since 2013.

In the registry since
2013
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

18308 Murdock Cir Ste 105
Port Charlotte, FL 33948-1025
Phone: (941) 743-4150
Fax: (941) 743-4427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1467889667
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGenesiscare USA Inc
Authorized official Shaden Marzouk — President · (239) 931-7254
Other names Matthew R Bagan Do; Matthew R Bagan Do
NPI enumeratedOctober 2, 2013
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 28, 2023
Mailing address1419 Se 8th Ter Ste 200, Cape Coral, FL 33990-3213

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