OrganizationActive
Genesiscare USA of Florida LLC
NPI 1336509546 · Surgery Physician · Niceville, FL
Genesiscare USA of Florida LLC is a Surgery Physician organization in Niceville, FL (NPI 1336509546).
Provider details
- NPI number
- 1336509546
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Genesiscare USA Inc
- Organization subpart
- Yes
- Authorized official
- Ian Wong, Cfo(303) 249-7486
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
550 Twin Cities Blvd Ste C
Niceville, FL 32578-1050
Phone: (850) 678-6601
Fax: (850) 678-0842
Street-level locationGet directions
Mailing address
1419 Se 8th Ter Ste 200
Cape Coral, FL 33990-3213
Other names (DBA / former)
- Doing business as
- W Michael Haney MD
- Doing business as
- W Michael Haney MD
Registry dates
- Enumerated
- 2016-03-01
- Last updated
- 2025-11-03
- Certified
- 2025-11-03
Frequently asked questions
- What is Genesiscare USA of Florida LLC's NPI number?
- Genesiscare USA of Florida LLC's National Provider Identifier (NPI) is 1336509546, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Genesiscare USA of Florida LLC?
- Genesiscare USA of Florida LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Genesiscare USA of Florida LLC located?
- Genesiscare USA of Florida LLC's practice location on file with NPPES is 550 Twin Cities Blvd Ste C, Niceville, FL 32578-1050.
- What is Genesiscare USA of Florida LLC's phone number?
- The practice phone number listed in the NPPES registry for Genesiscare USA of Florida LLC is (850) 678-6601.
- Who is the authorized official for Genesiscare USA of Florida LLC?
- The authorized official listed on Genesiscare USA of Florida LLC's NPPES record is Ian Wong, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Genesiscare USA of Florida LLC's NPI active?
- Yes — Genesiscare USA of Florida LLC's NPI (1336509546) is active in the NPPES registry as of the last update on 2025-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.