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 |
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 | |||||||||||||||||
|
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 |
---|---|
CORPORATION SERVICE COMPANY | Agent |
Name | Role | Address |
---|---|---|
Marzouk Shaden MD | Manager | 1419 SE 8th Terrace, Cape Coral, FL, 33990 |
Name | Role | Address |
---|---|---|
Seal Jack | Secretary | 1419 SE 8th Terrace, Cape Coral, FL, 33990 |
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 |
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 |
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 | |||||||||||||||||||||||||
|
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 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State