SPINE CENTER OF FL LLC (NPI# 1104472414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104472414 |
Entity Type | Organization |
Organization Name | SPINE CENTER OF FL LLC |
Practice Address |
7964 Summerlin Lakes Dr Fort Myers FL 33907-1816 |
Mailing Address |
11921 Rockville Pike Ste 505 Rockville MD 20852-2758 |
Practice Telephone | 3019455111 |
Enumeration Date | 2019-08-13 |
Last Update Date | 2020-05-19 |
Authorized Official Name | EUGENE D. MAHANEY (OWNER/AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 3135935000 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861043929 | Spine Center of Fl LLC | Pain Medicine | 9400 Bonita Beach Rd Se Ste 101, Bonita Springs, FL 34135-4520 | 2019-09-20 |
1699326744 | Spine Center of Fl LLC | Pain Medicine | 1031 Se 9th Pl, Cape Coral, FL 33990-3003 | 2019-09-20 |
Street Address |
7964 SUMMERLIN LAKES DR |
City | FORT MYERS |
State | FL |
Zip Code | 33907-1816 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619978236 | Eugene D Mahaney | Anesthesiology | 7964 Summerlin Lakes Dr, Fort Myers, FL 33907-1816 | 2005-08-04 |
1225638612 | Florida Pain and Rehabilitation Institute Inc | Pain Medicine | 7964 Summerlin Lakes Dr, Fort Myers, FL 33907-1816 | 2020-10-27 |
1619216314 | Pain Management Consultants of Southwest Florida, Pl | Clinic/Center | 7964 Summerlin Lakes Dr, Fort Myers, FL 33907-1816 | 2013-01-31 |
1396066601 | Timothy Devon Replogle II | Anesthesiology | 7964 Summerlin Lakes Dr, Fort Myers, FL 33907-1816 | 2010-06-21 |
1417167784 | Adam Michael Shuster | Anesthesiology | 7964 Summerlin Lakes Dr, Fort Myers, FL 33907-1816 | 2007-05-23 |
1649284928 | Pain Management Consultants of Southwest Florida, Pl | Anesthesiology | 7964 Summerlin Lakes Dr, Fort Myers, FL 33907-1816 | 2006-07-29 |
1265422794 | Velimir A Micovic | Anesthesiology | 7964 Summerlin Lakes Dr, Fort Myers, FL 33907-1816 | 2005-10-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
Find all providers in zip 33907 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447765599 | Korunda Medical LLC | Pain Medicine | 14131 Metropolis Ave Ste 103, Fort Myers, FL 33912-4455 | 2017-12-12 |
1225638612 | Florida Pain and Rehabilitation Institute Inc | Pain Medicine | 7964 Summerlin Lakes Dr, Fort Myers, FL 33907-1816 | 2020-10-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659979706 | Specialty Physician Services. LLC | Pain Medicine | 9150 Sw 87th Ave Ste 200, Miami, FL 33176-2313 | 2020-10-12 |
1700403847 | Advanced Interventional Pain Center Fl | Pain Medicine | 1831 N Belcher Rd Ste E1, Clearwater, FL 33765-1442 | 2020-07-05 |
1770108110 | The Neomedicine Institute LLC | Pain Medicine | 2510 Nw 97th Ave Ste 110, Doral, FL 33172-1407 | 2020-06-11 |
1316583362 | Lisa M Gonzalez | Pain Medicine | 8136 Centralia Ct Ste 103, Leesburg, FL 34788-3757 | 2019-11-25 |
1306488820 | Alberto Rivera-sanchez Pa | Pain Medicine | 201 W Canton Ave Ste 275, Winter Park, FL 32789-3148 | 2019-10-16 |
1912560798 | Jacksonville Spine Center Pa | Pain Medicine | 2349 Village Square Pkwy Ste 107, Fleming Island, FL 32003-4319 | 2019-04-17 |
1942765144 | Nixpain LLC | Pain Medicine | 2750 Ne 14th St, Fort Lauderdale, FL 33304-1611 | 2019-02-01 |
1346737749 | Ceda Orthopedics Group, LLC. | Pain Medicine | 815 Nw 57th Avenue, Ste. 202, Miami, FL 33126 | 2018-04-20 |
1174025001 | Lighthouse Point Surgery Center LLC | Pain Medicine | 1821 Ne 25th St Ste 100, Lighthouse Point, FL 33064-7744 | 2018-03-07 |
1801394440 | Neuspine Therapy LLC | Pain Medicine | 12880 Us 301, Dade City, FL 33525-5801 | 2018-01-29 |
Find all providers with the same taxonomy |
City | FORT MYERS |
Zip Code | 33907 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.