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GENESISCARE USA OF FLORIDA, LLC

Company Details

Entity Name: GENESISCARE USA OF FLORIDA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Dec 2008 (16 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 10 Jun 2020 (5 years ago)
Document Number: L08000117106
FEI/EIN Number 592485899
Address: 1419 SE 8th Terrace, Cape Coral, FL, 33990, US
Mail Address: 1419 SE 8th Terrace, Cape Coral, FL, 33990, US
ZIP code: 33990
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649093709 2024-11-06 2024-11-06 1419 SE 8TH TER STE 200, CAPE CORAL, FL, 339903213, US 1601 CLINT MOORE RD STE 195, BOCA RATON, FL, 334875716, US

Contacts

Phone +1 239-931-7342
Fax 2399317375
Phone +1 561-939-0700

Authorized person

Name ERIN FOLSE
Role CREDENTIALING SUPERVISOR
Phone 2399317342

Taxonomy

Taxonomy Code 208800000X - Urology Physician
Is Primary Yes

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Manager

Name Role Address
Marzouk Shaden MD Manager 1419 SE 8th Terrace, Cape Coral, FL, 33990

Secretary

Name Role Address
Seal Jack Secretary 1419 SE 8th Terrace, Cape Coral, FL, 33990

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000077353 GENESISCARE GULF COAST BREAST CENTER ACTIVE 2023-06-28 2028-12-31 No data 2270 COLONIAL BLVD, FORT MYERS, FL, 33907
G23000046684 FLORIDA GYNECOLOGIC ONCOLOGY ACTIVE 2023-04-12 2028-12-31 No data 8931 COLONIAL CENTER DR #400, FORT MYERS, FL, 33905
G22000044089 COMPREHENSIVE BREAST CENTER A PART OF THE GENESISCARE NETWORK ACTIVE 2022-04-07 2027-12-31 No data 2770 COLONIAL BLVD., FORT MYERS, FL, 33907
G21000061444 VENICE UROLOGY ACTIVE 2021-05-04 2026-12-31 No data 2270 COLONIAL BOULEVARD, FORT MYERS, FL, 33907
G21000061451 FLORIDA CENTER FOR PANCREAS DISEASES ACTIVE 2021-05-04 2026-12-31 No data 2270 COLONIAL BOULEVARD, FORT MYERS, FL, 33907
G21000047490 GENESISCARE CENTER FOR MEDICAL ONCOLOGY & HEMATOLOGY ACTIVE 2021-04-07 2026-12-31 No data 2270 COLONIAL BOULEVARD, FORT MYERS, FL, 33907
G20000164131 GENESISCARE CENTER FOR RADIATION ONCOLOGY ACTIVE 2020-12-28 2025-12-31 No data 2270 COLONIAL BOULEVARD, FORT MYERS, FL, 33907
G20000164135 GENESISCARE CENTER FOR ONCOLOGY ACTIVE 2020-12-28 2025-12-31 No data 2270 COLONIAL BOULEVARD, FORT MYERS, FL, 33907
G20000164138 PULMONARY, CRITICAL CARE AND SLEEP SPECIALISTS ACTIVE 2020-12-28 2025-12-31 No data 2270 COLONIAL BOULEVARD, FORT MYERS, FL, 33907
G20000164129 GENESISCARE ACTIVE 2020-12-28 2025-12-31 No data 2270 COLONIAL BOULEVARD, FORT MYERS, FL, 33907

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-24 1419 SE 8th Terrace, Suite 200, Cape Coral, FL 33990 No data
CHANGE OF MAILING ADDRESS 2024-04-24 1419 SE 8th Terrace, Suite 200, Cape Coral, FL 33990 No data
LC NAME CHANGE 2020-06-10 GENESISCARE USA OF FLORIDA, LLC No data
REGISTERED AGENT ADDRESS CHANGED 2012-02-09 1201 HAYS STREET, TALLAHASSEE, FL 32301 No data
CONVERSION 2008-12-29 No data CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS H36131. CONVERSION NUMBER 700000092667

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-04-21
AMENDED ANNUAL REPORT 2022-05-09
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-04-19
LC Name Change 2020-06-10
AMENDED ANNUAL REPORT 2020-04-17
ANNUAL REPORT 2020-01-17
AMENDED ANNUAL REPORT 2019-10-14
ANNUAL REPORT 2019-04-30

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DELIVERY ORDER AWARD 36C24825N0120 2024-11-05 2025-11-04 2025-11-04
Unique Award Key CONT_AWD_36C24825N0120_3600_36C24824D0012_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 644722.24
Current Award Amount 644722.24
Potential Award Amount 644722.24

Description

Title OPTION I ON-SITE/ON-CALL RADIATION ONCOLOGY THERAPY SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q522: MEDICAL- RADIOLOGY

Recipient Details

Recipient GENESISCARE USA OF FLORIDA LLC
UEI L715BUP5MMS2
Recipient Address UNITED STATES, 2270 COLONIAL BLVD, FORT MYERS, LEE, FLORIDA, 339071412
No data IDV 36C24824D0012 2023-11-05 No data No data
Unique Award Key CONT_IDV_36C24824D0012_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 0.00
Potential Award Amount 3323845.44

Description

Title OPTION I ON-SITE/ON-CALL RADIATION ONCOLOGY THERAPY SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q522: MEDICAL- RADIOLOGY

Recipient Details

Recipient GENESISCARE USA OF FLORIDA LLC
UEI L715BUP5MMS2
Recipient Address UNITED STATES, 2270 COLONIAL BLVD, FORT MYERS, LEE, FLORIDA, 339071412

Date of last update: 02 Feb 2025

Sources: Florida Department of State