Genesiscare USA of Florida LLC
NPI 1427339399 · Urology Physician · Fort Walton Beach, FL
Genesiscare USA of Florida LLC is a Urology Physician organization in Fort Walton Beach, FL (NPI 1427339399).
Provider details
- NPI number
- 1427339399
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Genesiscare USA Inc.
- Organization subpart
- Yes
- Authorized official
- Dan Collins, President(239) 931-7275
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Other names (DBA / former)
- Doing business as
- Basil D Fossum MD
- Doing business as
- Basil D Fossum MD
Registry dates
- Enumerated
- 2011-09-06
- Last updated
- 2020-08-24
- Certified
- 2020-08-24
Frequently asked questions
- What is Genesiscare USA of Florida LLC's NPI number?
- Genesiscare USA of Florida LLC's National Provider Identifier (NPI) is 1427339399, 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 Urology 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 914 Mar Walt Dr, Fort Walton Beach, FL 32547-6706.
- 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) 226-6572.
- 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 Dan Collins, President. 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 (1427339399) is active in the NPPES registry as of the last update on 2020-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.