OrganizationActive
Genesiscare USA of Florida LLC
NPI 1467889667 · Surgery Physician · Port Charlotte, FL
Provider details
- NPI number
- 1467889667
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Genesiscare USA Inc.
- Organization subpart
- Yes
- Authorized official
- Shaden Marzouk, President(239) 931-7254
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
18308 Murdock Cir
Suite 105
Port Charlotte, FL 33948-1025
Phone: (941) 743-4150
Fax: (941) 743-4427
Street-level locationGet directions
Mailing address
1419 Se 8th Ter Ste 200
Cape Coral, FL 33990-3213
Other names (DBA / former)
- Doing business as
- Matthew R Bagan DO
- Doing business as
- Matthew R Bagan DO
Registry dates
- Enumerated
- 2013-10-02
- Last updated
- 2023-09-28
- Certified
- 2023-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.