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GENESISCARE USA OF FLORIDA, LLC - Florida Company Profile

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Company Details

Entity Name: GENESISCARE USA OF FLORIDA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

GENESISCARE USA OF FLORIDA, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 29 Dec 2008 (17 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 10 Jun 2020 (5 years ago)
Document Number: L08000117106
FEI/EIN Number 592485899

Federal Employer Identification (FEI) Number assigned by the IRS.

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

Key Officers & Management

Name Role Address
Marzouk Shaden MD Manager 1419 SE 8th Terrace, Cape Coral, FL, 33990
Seal Jack Secretary 1419 SE 8th Terrace, Cape Coral, FL, 33990
CORPORATION SERVICE COMPANY Agent -

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
ZR67DZEVHDD9
CAGE Code:
9D9W6
UEI Expiration Date:
2025-02-07

Business Information

Activation Date:
2024-02-12
Initial Registration Date:
2022-09-12

Commercial and government entity program

The The Commercial And Government Entity Code (CAGE) is assigned by the Department of Defense's Defense Logistics Agency (DLA) and represents your company's physical address for GSA's mailings, payments, and administrative records.

Note: A CAGE Code enables a company to contract with the U.S. government, allowing bid on government contracts and to receive government payments. Also for business this means that it's a Verified business entity and Has a validated physical address.

CAGE number:
6Y5P6
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-01-13
CAGE Expiration:
2030-01-13
SAM Expiration:
2026-01-09

Contact Information

POC:
ROBERT HARMON

National Provider Identifier

NPI Number:
1649093709
Certification Date:
2024-11-06

Authorized Person:

Name:
ERIN FOLSE
Role:
CREDENTIALING SUPERVISOR
Phone:

Taxonomy:

Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
Yes

Contacts:

Fax:
2399317375

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 - 2270 COLONIAL BLVD, FORT MYERS, FL, 33907
G23000046684 FLORIDA GYNECOLOGIC ONCOLOGY ACTIVE 2023-04-12 2028-12-31 - 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 - 2770 COLONIAL BLVD., FORT MYERS, FL, 33907
G21000061444 VENICE UROLOGY ACTIVE 2021-05-04 2026-12-31 - 2270 COLONIAL BOULEVARD, FORT MYERS, FL, 33907
G21000061451 FLORIDA CENTER FOR PANCREAS DISEASES ACTIVE 2021-05-04 2026-12-31 - 2270 COLONIAL BOULEVARD, FORT MYERS, FL, 33907
G21000047490 GENESISCARE CENTER FOR MEDICAL ONCOLOGY & HEMATOLOGY ACTIVE 2021-04-07 2026-12-31 - 2270 COLONIAL BOULEVARD, FORT MYERS, FL, 33907
G20000164131 GENESISCARE CENTER FOR RADIATION ONCOLOGY ACTIVE 2020-12-28 2025-12-31 - 2270 COLONIAL BOULEVARD, FORT MYERS, FL, 33907
G20000164129 GENESISCARE ACTIVE 2020-12-28 2025-12-31 - 2270 COLONIAL BOULEVARD, FORT MYERS, FL, 33907
G20000164135 GENESISCARE CENTER FOR ONCOLOGY ACTIVE 2020-12-28 2025-12-31 - 2270 COLONIAL BOULEVARD, FORT MYERS, FL, 33907
G20000164138 PULMONARY, CRITICAL CARE AND SLEEP SPECIALISTS ACTIVE 2020-12-28 2025-12-31 - 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 -
CHANGE OF MAILING ADDRESS 2024-04-24 1419 SE 8th Terrace, Suite 200, Cape Coral, FL 33990 -
LC NAME CHANGE 2020-06-10 GENESISCARE USA OF FLORIDA, LLC -
REGISTERED AGENT ADDRESS CHANGED 2012-02-09 1201 HAYS STREET, TALLAHASSEE, FL 32301 -
CONVERSION 2008-12-29 - 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

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C24825N0120
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
644722.24
Base And Exercised Options Value:
644722.24
Base And All Options Value:
644722.24
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2024-11-05
Description:
OPTION I ON-SITE/ON-CALL RADIATION ONCOLOGY THERAPY SERVICES
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q522: MEDICAL- RADIOLOGY
Procurement Instrument Identifier:
36C24824N0185
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
-27664.48
Base And Exercised Options Value:
-27664.48
Base And All Options Value:
-27664.48
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2023-11-05
Description:
ON-SITE/ON-CALL RADIATION ONCOLOGY THERAPY SERVICES
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q522: MEDICAL- RADIOLOGY
Procurement Instrument Identifier:
36C24824D0012
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And All Options Value:
0.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2023-11-05
Description:
OPTION I ON-SITE/ON-CALL RADIATION ONCOLOGY THERAPY SERVICES
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q522: MEDICAL- RADIOLOGY

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Date of last update: 02 Jun 2025

Sources: Florida Department of State