Organization
SPINE CENTER OF FL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE D. MAHANEY MD (OWNER/AUTHORIZED OFFICIAL)
(313) 593-5000
Entity
Organization
Contact information
Practice address
7964 SUMMERLIN LAKES DR, FORT MYERS, FL 33907-1816
(301) 945-5111
Mailing address
11921 ROCKVILLE PIKE STE 505, ROCKVILLE, MD 20852-2758
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
05/19/2020
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