| 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. |
| 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 (16 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 |
| 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 | |||||||||||||||||
|
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| 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 |
| 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 | - |
| 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 |
| 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 |
| G20000164129 | GENESISCARE | ACTIVE | 2020-12-28 | 2025-12-31 | - | 2270 COLONIAL BOULEVARD, FORT MYERS, FL, 33907 |
| 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 |
| 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 |
| 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 | |||||||||||||||||||||||||
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| 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 |
| 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 |
| Unique Award Key | CONT_AWD_36C24824N0185_3600_36C24824D0012_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 598546.72 |
| Current Award Amount | 598546.72 |
| Potential Award Amount | 598546.72 |
Description
| Title | 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 Apr 2025
Sources: Florida Department of State
