OrganizationActive
Genesiscare of Florida LLC
NPI 1528442332 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Fort Myers, FL
Provider details
- NPI number
- 1528442332
- Entity type
- Organization
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Genesiscare USA Inc
- Organization subpart
- Yes
- Authorized official
- Ian Wong, Cfo(303) 249-7486
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Otolaryngology Physician207Y00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(73/100 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
4571 Colonial Blvd Ste 110
Fort Myers, FL 33966-1156
Phone: (239) 790-3480
Fax: (239) 244-2049
Street-level locationGet directions
Mailing address
1419 Se 8th Ter Ste 200
Cape Coral, FL 33990-3213
Other names (DBA / former)
- Doing business as
- Head & Neck Surgical Cancer Specialists of Sw Florida
- Doing business as
- Head & Neck Surgical Cancer Specialists of Sw Florida
Registry dates
- Enumerated
- 2015-07-13
- Last updated
- 2025-11-03
- Certified
- 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.