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SPINE CENTER OF FL LLC NPI 1104472414


NPI Information

NPI: 1104472414
Provider Name: SPINE CENTER OF FL LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
7964 SUMMERLIN LAKES DR
FORT MYERS, FL
ZIP 33907
Phone: (301) 945-5111
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SPINE CENTER OF FL LLC is an interventional pain medicine pain medicine in Fort Myers, FL. The provider is 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. SPINE CENTER OF FL LLC NPI is 1104472414. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7964 SUMMERLIN LAKES DR
FORT MYERS, FL
ZIP 33907-816
Phone: (301) 945-5111

The provider's authorized official is Eugene D. Mahaney .
The authorized official title is Owner/authorized Official and has the following contact phone number (313) 593-5000.

The enumeration date for this NPI number is 8/13/2019 and was last updated on 5/19/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0000XPain MedicinePain MedicineNo
2208VP0014XPain MedicineInterventional Pain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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