Genesiscare USA of Florida LLC
NPI 1790042711ActiveOrganization· Surgery· Niceville, FL
Surgery in Niceville, Florida, registered in NPPES in April 2012, part of Genesiscare USA Inc. The authorized official on file is Shaden Marzouk, President.
Overview
| NPI | 1790042711 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Genesiscare USA Inc |
| NPI issued | Apr 16, 2012 |
| Last updated in NPPES | Oct 5, 2023 |
| Certified by provider | Oct 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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