Genesiscare Usa of Florida LLC is a Surgery Physician (organization) practicing in Destin, Florida. The National Provider Identifier (NPI) is #1427677038, which was assigned on April 14, 2020, and the registration record was last updated on January 31, 2025. The practitioner's main practice location is at 36468 Emerald Coast Pkwy Ste 11103, Destin, FL 32541-0741; the contact telephone number is 8506605204, and the fax number is 8506605206. The primary taxonomy of Genesiscare Usa of Florida LLC is Surgery Physician (208600000X). The authorized official for Genesiscare Usa of Florida LLC is Shaden Marzouk (President).
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.
| NPI | 1427677038 |
| Entity Type | Organization |
| Organization Name | GENESISCARE USA OF FLORIDA LLC |
| Provider Name | GENESISCARE USA OF FLORIDA LLC |
| Practice Address |
36468 Emerald Coast Pkwy Ste 11103 Destin FL 32541-0741 |
| Practice Telephone | 8506605204 |
| Practice Fax Number | 8506605206 |
| Mailing Address |
1419 Se 8th Ter Ste 200 Cape Coral FL 33990-3213 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Certification Date | 2025-01-31 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2025-01-31 |
| Is Organization Subpart | Y |
| Parent Organization Legal Business Name | GENESISCARE USA INC. |
| Official Name | SHADEN MARZOUK |
| Official Title | PRESIDENT |
| Telephone | 2399317254 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 208C00000X | Colon & Rectal Surgery | 193200000X MULTI-SPECIALTY GROUP | |||
| N | 208D00000X | General Practice | 193200000X MULTI-SPECIALTY GROUP | |||
| Y | 208600000X | Surgery | 193400000X MULTIPLE SINGLE SPECIALTY GROUP |
| Other Organization Name | Type |
|---|---|
| 21st Century Surgical Associates | Doing Business As Name |
| Thomas J. Shaknovsky, DO | Doing Business As Name |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Genesiscare Usa of Florida LLC | 1601 Clint Moore Rd Ste 195, Boca Raton, FL 33487-5716 | Urology Physician | 2024-11-06 |
| Genesiscare Usa of Florida LLC | 5667 Nw 29th St, Margate, FL 33063-1531 | Hematology & Oncology Physician | 2015-09-03 |
| Genesiscare Usa of Florida LLC | 1670 N University Dr Ste A, Coral Springs, FL 33071-6027 | Urology Physician | 2013-04-18 |
| Genesiscare Usa of Florida LLC | 2721 Del Prado Blvd S Ste 230b, Cape Coral, FL 33904-5781 | Urology Physician | 2015-02-19 |
| Genesiscare Usa of Florida LLC | 425 N Lee St Ste 104, Jacksonville, FL 32204-1128 | Hematology (Internal Medicine) Physician | 2015-06-30 |
| Genesiscare Usa of Florida LLC | 3661 S Miami Ave Ste 904, Miami, FL 33133-4214 | Medical Oncology Physician | 2015-09-21 |
| Genesiscare Usa of Florida LLC | 2101 Riverside Dr Ste 101, Coral Springs, FL 33071-6260 | Surgery Physician | 2013-08-06 |
| Genesiscare Usa of Florida LLC | 10115 Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | Urology Physician | 2015-10-15 |
| Genesiscare Usa of Florida LLC | 195 Center Rd Ste B, Venice, FL 34285-5565 | General Practice Physician | 2023-06-15 |
| Genesiscare Usa of Florida LLC | 9960 Central Park Blvd N Ste 220, Boca Raton, FL 33428-1760 | Urology Physician | 2015-09-16 |
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| Code | 208600000X |
| Taxonomy | Surgery Physician |
| Classification | Surgery |
| Grouping | Allopathic & Osteopathic Physicians |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| Code | 208C00000X |
| Taxonomy | Colon & Rectal Surgery Physician |
| Classification | Colon & Rectal Surgery |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| Code | 208D00000X |
| Taxonomy | General Practice Physician |
| Classification | General Practice |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: Definition to come... |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Johns Hopkins University | 6565 N Charles St Ste 315, Baltimore, MD 21204-5804 | Surgery Physician | 2025-11-06 |
| Nova Wound Care Medical Corp | 8500 Wilshire Blvd Ste 1020, Beverly Hills, CA 90211-3108 | Surgery Physician | 2025-11-05 |
| Sma Pa Healthcare Inc | 18256 Nw 6th St, Pembroke Pines, FL 33029-3676 | Surgery Physician | 2025-10-27 |
| Kaiberg LLC | 209 Joseph St, Central, SC 29630-9276 | Surgery Physician | 2025-11-03 |
| Johns Hopkins University | 10753 Falls Rd Ste 305, Lutherville, MD 21093-4598 | Surgery Physician | 2025-11-07 |
| Thomas L Kennedy Jr Md PLLC | 403 W Oak St Ste 204, El Dorado, AR 71730-4574 | Surgery Physician | 2025-11-04 |
| Sinai Hospital of Baltimore, Inc. | 2850 N Ridge Rd, Ellicott City, MD 21043-3464 | Surgery Physician | 2025-10-23 |
| Orthopaedic Associates, Inc. | 1150 Lincoln Ave, Evansville, IN 47714-1071 | Surgery Physician | 2025-10-30 |
| West Texas General & Vascular Surgery, PLLC | 425 Old Newman Rd Ste 100, Frisco, TX 75036-4773 | Surgery Physician | 2025-10-28 |
| Brittny Pedroni | 1531 S Madison St, Appleton, WI 54915-1800 | Surgery Physician | 2025-10-27 |
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| Street Address |
36468 EMERALD COAST PKWY STE 11103 |
| City | DESTIN |
| State | FL |
| Zip Code | 32541-0741 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| John Charles French | 996 Airport Rd, Destin, FL 32541-2824 | Physical Therapy Assistant | 2025-09-17 |
| Dawn Bopes | 990 Airport Rd, Destin, FL 32541-2820 | Family Nurse Practitioner | 2022-12-19 |
| Malaya Telfer | 225 Main St Ste 3, Destin, FL 32541-2550 | Behavior Technician | 2023-10-05 |
| Emerald Coast Counseling Center Pa | 215 Mountain Drive, Suite 106, Destin, FL 32541-2346 | Mental Health Counselor | 2005-12-13 |
| Swiftlink Delivery Inc | 3903 Harbor Wind Ct, Destin, FL 32541-2131 | Non-emergency Medical Transport (VAN) | 2025-06-04 |
| Adolph M Herrera | 36468 Emerald Coast Pkwy Ste 8102, Destin, FL 32541-0712 | Family Nurse Practitioner | 2023-07-10 |
| Stephen Craig Henry | 412 Mountain Drive, Dr Stephen C Henry Henry Chiropractic Clinic, Destin, FL 32541-2334 | Chiropractor | 2006-11-07 |
| Ashley Lopez | 225 Main St Ste 3, Destin, FL 32541-2550 | Behavior Technician | 2024-11-04 |
| Christopher J White | 100 Beach Dr Apt 2, Destin, FL 32541-2663 | Athletic Trainer | 2025-04-07 |
| John W Keller | 215 Mountain Dr, Ste. 106, Destin, FL 32541-2346 | Addiction (Substance Use Disorder) Counselor | 2006-06-29 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Soh of Florida Pa | 1584 Kingsley Ave Ste A, Orange Park, FL 32073-4515 | Dentist | 2023-08-23 |
| Ons of Florida Vi, LLC | 3750 Nw 87th Ave Ste 500, Doral, FL 33178-2433 | Orthopaedic Surgery Physician | 2024-01-16 |
| Qsh/Central Florida, LLC | 6120 Congress St, New Port Richey, FL 34653-3909 | Alzheimer Center (Dementia Center) | 2025-06-23 |
| Metcare of Florida, Inc | 18590 Nw 67th Ave Ste 101, Hialeah, FL 33015-3540 | Internal Medicine Physician | 2005-10-03 |
| Genesiscare Usa of North Carolina, Pa | 1 Doctors Park, Asheville, NC 28801-4500 | Anatomic Pathology Physician | 2011-09-29 |
| Idr Med Florida LLC | 6591 Sw Highway 200, Ocala, FL 34476-2033 | Infectious Disease Physician | 2017-11-08 |
| Ace Foundation of Florida | 6444 Beach Blvd, Jacksonville, FL 32216-2891 | Voluntary or Charitable Agency | 2025-09-05 |
| Genesiscare Plus | 1300 Mancherol Drive, #C, Genesisicare Plus, San Marcos, CA 92069 | Physical Therapist | 2006-03-29 |
| Genesiscare of Florida LLC | 4571 Colonial Blvd Ste 110, Fort Myers, FL 33966-1156 | Otolaryngology Physician | 2015-07-13 |
| Florida Dec LLC | 11181 Health Park Blvd Ste 2265, Naples, FL 34110-5735 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2025-06-04 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |