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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.
Status: Active
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
Address: 1419 SE 8th Terrace, Cape Coral, FL, 33990, US
Mail Address: 1419 SE 8th Terrace, Cape Coral, FL, 33990, US
ZIP code: 33990
City: Cape Coral
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
- Agent -

Unique Entity ID

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

CAGE number:
9QV53
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-02-01
CAGE Expiration:
2029-02-05
SAM Expiration:
2025-02-01

Contact Information

POC:
ADRIAAN EPPS

Immediate Level Owner

Vendor Certified:
2024-02-05
CAGE number:
43JR0
Company Name:
GENESISCARE USA, INC.

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 Aug 2025

Sources: Florida Department of State