GENESISCARE USA OF FLORIDA LLC - NPI 1013055060

Q: What is the provider's specialty?

The provider's specialty is Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.

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About Genesiscare Usa Of Florida Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESISCARE USA OF FLORIDA LLC (NPI 1013055060), doing business as Associates In General & Vascular Surgery, is a healthcare organization registered as a vascular surgery in Fort Myers, Florida and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Ian Wong, Cfo, as its authorized official.

NPPES Registry Identity

NPI1013055060

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameGENESISCARE USA OF FLORIDA LLC

Location Address21 BARKLEY CIRFort Myers, FL 33907-7531

Mailing Address1419 Se 8th Ter Ste 200Cape Coral, FL 33990-3213 · (239) 931-7342 · Fax (239) 931-7385

Phone(239) 939-2616

Fax(239) 939-9093

Organization SubpartYesParent: Genesiscare Usa Inc

Authorized OfficialIan WongCfo · (303) 249-7486

Enumeration DateFebruary 2, 2007

Last NPPES UpdateNovember 3, 20255 updates tracked since enumeration

NPPES CertifiedNovember 3, 2025

✔ NPI 1013055060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X

21 BARKLEY CIR, Fort Myers, FL 33907

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Other Names 1

Doing Business AsAssociates In General & Vascular Surgery

Other Identifiers 1

OtherCE7138FL · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Wellpoint.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0293577

Genesiscare Usa Of Florida, LLC Dba Sunstate Medical Specialists · Cape Coral, FL

Active · expires Dec 22, 2027

CLIA Number10D0293577

Laboratory TypePhysician Office

Certificate Effective DateDecember 23, 2025

Certificate Expiration DateDecember 22, 2027

Laboratory DirectorConstantine Mantz

Laboratory Phone(239) 938-9370

Laboratory LocationGenesiscare Usa Of Florida, LLC Dba Sunstate Medical Specialists1419 SE 8th Terrace, Cape Coral, FL 33990

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEGGY C. KALKOUNOS DO

Surgery