SPINE CENTER OF FL LLC


Address: 7964 Summerlin Lakes Dr, Fort Myers, FL 33907-1816
Phone: 3019455111

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).

Provider Overview

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

Taxonomy

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

Other Provider IDs and Locations

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

Office Location

Street Address 7964 SUMMERLIN LAKES DR
City FORT MYERS
State FL
Zip Code 33907-1816

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy 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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City FORT MYERS
Zip Code 33907

Improve Information

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Dataset Information

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.

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