GENESISCARE OF FLORIDA LLC
NPI 1528442332
Otolaryngology - Plastic Surgery within the Head & Neck in Fort Myers, FL

Active since July 13, 2015
4571 COLONIAL BLVD STE 110, FORT MYERS, FL 33966(239) 790-3480(239) 244-2049 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2025, Jun 21, 2023, Aug 24, 2020 and 2 more (5 updates tracked since 2016).

About Genesiscare Of Florida Llc NPPES

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

GENESISCARE OF FLORIDA LLC (NPI 1528442332), doing business as Head & Neck Surgical Cancer Specialists Of Sw Florida, is a healthcare organization registered as a plastic surgery within the head & neck in Fort Myers, Florida and active in the NPI registry since July 2015. The organization lists Ian Wong, Cfo, as its authorized official.

NPPES Registry Identity

NPI1528442332
Entity TypeOrganization
Primary Taxonomy207YX0007X
Legal Business NameGENESISCARE OF FLORIDA LLC
Location Address4571 COLONIAL BLVD STE 110Fort Myers, FL 33966-1156
Mailing Address1419 Se 8th Ter Ste 200Cape Coral, FL 33990-3213 · (239) 931-7342 · Fax (239) 931-7385
Fax(239) 244-2049
Organization SubpartYesParent: Genesiscare Usa Inc
Authorized OfficialIan WongCfo · (303) 249-7486
Enumeration DateJuly 13, 2015
Last NPPES UpdateNovember 3, 20255 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
NPI 1528442332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Also ListedOtolaryngologyTaxonomy 207Y00000X
4571 COLONIAL BLVD STE 110, Fort Myers, FL 33966

Other Names 1

Doing Business AsHead & Neck Surgical Cancer Specialists Of Sw Florida

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

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.

Urology
4571 COLONIAL BLVD STE 110
FORT MYERS, FL 33966
Physician Assistant (Medical)
4571 COLONIAL BLVD STE 110
FORT MYERS, FL 33966
Physician Assistant (Surgical)
4571 COLONIAL BLVD STE 110
FORT MYERS, FL 33966
Nurse Practitioner
4571 COLONIAL BLVD STE 110
FORT MYERS, FL 33966
Urology
4571 COLONIAL BLVD STE 110
FORT MYERS, FL 33966

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 Of Florida LLC's NPI number?

The NPI number for Genesiscare Of Florida LLC is 1528442332. It was assigned to this organization in the NPPES registry on July 13, 2015. The provider is doing business as Head & Neck Surgical Cancer Specialists of SW Florida.

Where is Genesiscare Of Florida LLC located?

Genesiscare Of Florida LLC is located at 4571 Colonial Blvd Ste 110, Fort Myers, FL 33966. The listed phone number is (239) 790-3480.

What is Genesiscare Of Florida LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

What insurance does Genesiscare Of Florida LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Genesiscare 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 Of Florida LLC was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.