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

Spine Center of Fl LLC

Organization Pain Medicine Physician · NPI 1861043929

Spine Center of Fl LLC is a Pain Medicine Physician in Bonita Springs, 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

9400 Bonita Beach Rd SE Ste 101
Bonita Springs, FL 34135-4520
Phone: (239) 333-1177
Fax: (239) 333-1169
Show map & directions

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 number1861043929
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Wisor — Officer · (703) 927-5772
NPI enumeratedSeptember 20, 2019
Last updated in NPPESSeptember 20, 2019
Mailing address11921 Rockville Pike Ste 505, Rockville, MD 20852-2758

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