1. Home
  2. Directory
  3. Florida
  4. Destin
  5. Surgery
  6. NPI Profile

GENESISCARE USA OF FLORIDA LLC
NPI 1427677038
Surgery in Destin, FL

Active since April 14, 2020
36468 EMERALD COAST PKWY STE 11103, DESTIN, FL 32541(850) 660-5204(850) 660-5206 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 5, 2023, Jun 22, 2023, Jul 8, 2022 and 2 more (5 updates tracked since 2020).

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 1427677038), doing business as Thomas J. Shaknovsky, Do, is a healthcare organization registered as a surgery in Destin, Florida and active in the NPI registry since April 2020. The organization lists Shaden Marzouk, President, as its authorized official.

NPPES Registry Identity

NPI1427677038
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameGENESISCARE USA OF FLORIDA LLC
Location Address36468 EMERALD COAST PKWY STE 11103Destin, FL 32541-0741
Mailing Address1419 Se 8th Ter Ste 200Cape Coral, FL 33990-3213 · (239) 931-7342 · Fax (239) 931-7385
Phone(850) 660-5204
Fax(850) 660-5206
Organization SubpartYesParent: Genesiscare Usa Inc.
Authorized OfficialShaden MarzoukPresident · (239) 931-7254
Enumeration DateApril 14, 2020
Last NPPES UpdateJanuary 31, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2025
✔ NPI 1427677038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
36468 EMERALD COAST PKWY STE 11103, Destin, FL 32541
Open in Google Maps ↗

Other Names 1

Doing Business AsThomas J. Shaknovsky, Do

Group Practice 2

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

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 1427677038. It was assigned to this organization in the NPPES registry on April 14, 2020. The provider is doing business as Thomas J. Shaknovsky, DO.

Where is Genesiscare Usa Of Florida LLC located?

Genesiscare Usa Of Florida LLC is located at 36468 Emerald Coast Pkwy Ste 11103, Destin, FL 32541. The listed phone number is (850) 660-5204.

What is Genesiscare Usa Of Florida LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

What insurance does Genesiscare Usa Of Florida LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) 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 January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.