Spine Center of FL LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

SPINE CENTER OF FL LLC

Practice address

7964 Summerlin Lakes Dr
Fort Myers, FL 33907-1816

Phone

(301) 945-5111

NPI assigned

Aug 13, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eugene D. Mahaney, MD

Title

Owner/Authorized Official

Phone

(313) 593-5000

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1104472414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11921 ROCKVILLE PIKE STE 505",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7964 SUMMERLIN LAKES DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071816",
            "telephone_number": "301-945-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE CENTER OF FL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "MAHANEY",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "313-593-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Sperandio Lopes Morales, DMD
• Daniel Sperzel
• Katherine Spiegel
• Kimberly Marie Argudin Spilman, R.PH
• Jaislee Christine Spina, BS
• Lucia Spinelli, PA-C
• Natalia Spinelli, MD
• Shannon R Spirgatis, CRNA
• Julianne Carroll Spiros, DO
• Ellie Spithourakis, CRNA, ARNP

• Interventional Pain Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.