NPI 1104472414

Spine Center of Fl LLC

Organisation Interventional Pain Medicine Physician Fort Myers, FL

Practice location

Address: 7964 Summerlin Lakes Dr, Fort Myers, FL 33907-1816
Phone: (301) 945-5111
Mailing address: 11921 Rockville Pike STE 505, Rockville, MD 20852-2758

Authorised official

Name: Eugene D. Mahaney
Title: Owner/Authorized Official
Phone: (313) 593-5000

Registered specialties (2)

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Florida →

Pain Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X

Registry record

NPI: 1104472414
Entity type: Organization
NPI issued: 13 Aug 2019
Record last updated: 19 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.