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

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: July 19, 2026.

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

  • Organization
  • Pain Medicine
  • Interventional Pain Medicine

About SPINE CENTER OF FL LLC

This page provides the complete NPI Profile along with additional information for Spine Center Of Fl Llc, a provider established in Fort Myers, Florida operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1104472414 assigned on August 2019. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Spine Center Of Fl Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Eugene D. Mahaney Md (Owner/authorized Official)

NPI
1104472414 Verify this NPI
Provider Name
SPINE CENTER OF FL LLC
Entity Type
Organization
Location Address
7964 SUMMERLIN LAKES DR FORT MYERS, FL 33907
Location Phone
(301) 945-5111
Mailing Address
11921 ROCKVILLE PIKE STE 505 ROCKVILLE, MD 20852
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-13-2019
Last Update Date
05-19-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208VP0000XAllopathic & Osteopathic Physicians

Pain Medicine
Pain Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EUGENE D. MAHANEY MD

Authorized Official Title
OWNER/AUTHORIZED OFFICIAL
Authorized Official Phone
(313) 593-5000

Reviews for SPINE CENTER OF FL LLC

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Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Anesthesiology (Pain Medicine)
7964 SUMMERLIN LAKES DR
FORT MYERS, FL 33907
Anesthesiology (Pain Medicine)
7964 SUMMERLIN LAKES DR
FORT MYERS, FL 33907
Clinic/Center (Pain)
7964 SUMMERLIN LAKES DR
FORT MYERS, FL 33907
Nurse Practitioner (Family)
7964 SUMMERLIN LAKES DR
FORT MYERS, FL 33907
Anesthesiology (Pain Medicine)
7964 SUMMERLIN LAKES DR
FORT MYERS, FL 33907
Anesthesiology (Pain Medicine)
7964 SUMMERLIN LAKES DR
FORT MYERS, FL 33907
Anesthesiology (Pain Medicine)
7964 SUMMERLIN LAKES DR
FORT MYERS, FL 33907
Pain Medicine (Interventional Pain Medicine)
7964 SUMMERLIN LAKES DR
FORT MYERS, FL 33907
Pain Medicine (Interventional Pain Medicine)
7964 SUMMERLIN LAKES DR
FORT MYERS, FL 33907

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104472414, enumerated as an "organization" on August 13, 2019.

The provider is located at 7964 SUMMERLIN LAKES DR FORT MYERS, FL 33907 and the phone number is (301) 945-5111.

Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.