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GULF COAST UROLOGY
NPI 1255741880
Urology in Port Charlotte, FL

Active since May 05, 2014
21260 OLEAN BLVD, SUITE 202A, PORT CHARLOTTE, FL 33952(941) 625-1550(941) 255-0794 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 5, 2023, Jun 22, 2023, Aug 24, 2020 and 1 more (4 updates tracked since 2019).

About Gulf Coast Urology NPPES

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

GULF COAST UROLOGY (NPI 1255741880) is a healthcare organization registered as an urology in Port Charlotte, Florida and active in the NPI registry since May 2014. The organization lists Shaden Marzouk, President, as its authorized official.

NPPES Registry Identity

NPI1255741880
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGENESISCARE USA OF FLORIDA LLC
Location Address21260 OLEAN BLVD, SUITE 202APort Charlotte, FL 33952-6742
Mailing Address1419 Se 8th Ter Ste 200Cape Coral, FL 33990-3213 · (239) 931-7342 · Fax (239) 931-7385
Phone(941) 625-1550
Fax(941) 255-0794
Organization SubpartYesParent: Genesiscare Usa Inc
Authorized OfficialShaden MarzoukPresident · (239) 931-7254
Enumeration DateMay 5, 2014
Last NPPES UpdateOctober 5, 20234 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
✔ NPI 1255741880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

21260 OLEAN BLVD, Port Charlotte, FL 33952
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Other Names 1

Doing Business AsGulf Coast Urology

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 ›

Other Providers at the Same Location NPPES 4

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

DR. JOHN P RIOUX MD PL
Surgery
21260 OLEAN BLVD, SUITE 200
PORT CHARLOTTE, FL 33952
Charlotte County (941) 625-4270
JOHN P RIOUX MD PL
Surgery
21260 OLEAN BLVD, SUITE 200
PORT CHARLOTTE, FL 33952
Charlotte County (941) 625-4270
NORTHWOOD ANESTHESIA ASSOCIATES LLC
Anesthesiology
21260 OLEAN BLVD
PORT CHARLOTTE, FL 33952
Charlotte County (954) 939-5000
SURGERY CENTER OF PORT CHARLOTTE LTD
Clinic/Center (Ambulatory Surgical)
21260 OLEAN BLVD, SUITE 105
PORT CHARLOTTE, FL 33952
Charlotte County (941) 235-5800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesiscare Usa Of Florida LLC's NPI number?

The NPI number for Genesiscare Usa Of Florida LLC is 1255741880. It was assigned to this organization in the NPPES registry on May 5, 2014.

Where is Genesiscare Usa Of Florida LLC located?

Genesiscare Usa Of Florida LLC is located at 21260 Olean Blvd Suite 202A, Port Charlotte, FL 33952. The listed phone number is (941) 625-1550.

What is Genesiscare Usa Of Florida LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

What insurance does Genesiscare Usa Of Florida LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Genesiscare Usa Of Florida LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Genesiscare Usa Of Florida LLC was last updated on October 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.