SPINE CENTER OF FL LLC
NPI 1104472414
Pain Medicine - Interventional Pain Medicine in Fort Myers, FL

Q: What is Spine Center Of Fl LLC's NPI number?

The NPI number for Spine Center Of Fl LLC is 1104472414. It was assigned to this organization in the NPPES registry on August 13, 2019.

Q: What is Spine Center Of Fl LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Active since August 13, 2019

7964 SUMMERLIN LAKES DR, FORT MYERS, FL 33907(301) 945-5111 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2020, Aug 13, 2019 (2 updates tracked since 2019).

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About Spine Center Of Fl Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPINE CENTER OF FL LLC (NPI 1104472414) is a healthcare organization registered as an interventional pain medicine in Fort Myers, Florida and active in the NPI registry since August 2019. The organization lists Eugene D. Mahaney, Owner/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1104472414

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameSPINE CENTER OF FL LLC

Location Address7964 SUMMERLIN LAKES DRFort Myers, FL 33907-1816

Mailing Address11921 Rockville Pike Ste 505Rockville, MD 20852-2758

Phone(301) 945-5111

Organization SubpartNo

Authorized OfficialEugene D. MahaneyOwner/authorized Official · (313) 593-5000

Enumeration DateAugust 13, 2019

Last NPPES UpdateMay 19, 20202 updates tracked since enumeration

NPPES CertifiedMay 19, 2020

✔ NPI 1104472414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X

7964 SUMMERLIN LAKES DR, Fort Myers, FL 33907

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FLORIDA PAIN & REHABILITATION INSTITUTE INC

Pain Medicine (Interventional Pain Medicine)