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VANGUARD UROLOGY
NPI 1417220054
Urology in Pembroke Pines, FL

Active since February 13, 2012CLIA 10D0970471 · Waiver
600 N HIATUS RD STE 209, PEMBROKE PINES, FL 33026(954) 965-9860(954) 965-9870 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

About Vanguard Urology NPPES

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

VANGUARD UROLOGY (NPI 1417220054) is a healthcare organization registered as an urology in Pembroke Pines, Florida and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through February 14, 2028 and lists Shaden Marzouk, President, as its authorized official.

NPPES Registry Identity

NPI1417220054
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGENESISCARE USA OF FLORIDA LLC
Location Address600 N HIATUS RD STE 209Pembroke Pines, FL 33026-5207
Mailing Address1419 Se 8th Ter Ste 200Cape Coral, FL 33990-3213 · (239) 931-7342 · Fax (239) 931-7385
Phone(954) 965-9860
Fax(954) 965-9870
Organization SubpartYesParent: Genesiscare Usa Inc.
Authorized OfficialShaden MarzoukPresident · (239) 931-7254
Enumeration DateFebruary 13, 2012
Last NPPES UpdateOctober 5, 20234 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
✔ NPI 1417220054 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.
600 N HIATUS RD STE 209, Pembroke Pines, FL 33026
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Other Names 1

Doing Business AsVanguard Urology

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Florida Blue (BlueCross BlueShield FL) and more.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 10D0970471

Genesiscare Usa Of Florida, LLC Dba Sunstate Medical Specialists · Pembroke Pines, FL
Active · expires Feb 14, 2028
CLIA Number10D0970471
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2026
Certificate Expiration DateFebruary 14, 2028
Laboratory DirectorAntonio Reyes
Laboratory Phone(239) 237-4408
Laboratory LocationGenesiscare Usa Of Florida, LLC Dba Sunstate Medical Specialists600 N Hiatus Rd, Ste 209, Pembroke Pines, FL 33026
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 1417220054. It was assigned to this organization in the NPPES registry on February 13, 2012. The provider is doing business as Vanguard Urology.

Where is Genesiscare Usa Of Florida LLC located?

Genesiscare Usa Of Florida LLC is located at 600 N Hiatus Rd Ste 209, Pembroke Pines, FL 33026. The listed phone number is (954) 965-9860.

What is Genesiscare Usa Of Florida LLC's specialty?

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

Does Genesiscare Usa Of Florida LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0970471) is associated with this NPI, valid through February 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Genesiscare Usa Of Florida LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.