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 1790042711

Genesiscare USA of Florida LLC provides Surgery Physician services in Niceville, Florida. Registered with an NPI since 2012.

In the registry since
2012
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

554 Twin Cities Blvd Ste C
Niceville, FL 32578-1058
Phone: (850) 729-4054
Fax: (850) 389-2220
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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 number1790042711
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGenesiscare USA Inc
Authorized official Shaden Marzouk — President · (239) 931-7254
Other names Robert E. Hruby Md; Robert E. Hruby Md
NPI enumeratedApril 16, 2012
Last updated in NPPESOctober 5, 2023
Certification dateOctober 5, 2023
Mailing address1419 Se 8th Ter Ste 200, Cape Coral, FL 33990-3213

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