Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Spine Center of Fl LLC

Organization Pain Medicine Physician · NPI 1104472414

Spine Center of Fl LLC is a Pain Medicine Physician in Fort Myers, Florida. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7964 Summerlin Lakes Dr
Fort Myers, FL 33907-1816
Phone: (301) 945-5111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X
Pain Medicine Physician Taxonomy 208VP0000X

Record details

NPI number1104472414
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eugene Mahaney — Owner/Authorized Official · (313) 593-5000
NPI enumeratedAugust 13, 2019
Last updated in NPPESMay 19, 2020
Certification dateMay 19, 2020
Mailing address11921 Rockville Pike Ste 505, Rockville, MD 20852-2758

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