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 1891036810

Genesiscare USA of Florida LLC provides Surgery Physician services in Fort Myers, 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

13691 Metro Pkwy Ste 350 Metro Medical Plaza
Fort Myers, FL 33912-4351
Phone: (239) 768-5313
Fax: (239) 768-9559
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 number1891036810
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGenesiscare USA Inc
Authorized official Shaden Marzouk — President · (239) 931-7254
Other names Lawrence R. Black, Do; Lawrence R. Black, Do
NPI enumeratedMarch 15, 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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