Spine Center of Fl LLC
NPI 1104472414ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Fort Myers, FL
Pain Medicine, Interventional Pain Medicine in Fort Myers, Florida, registered in NPPES in August 2019. The authorized official on file is Eugene D. Mahaney, MD, Owner/Authorized Official.
Overview
| NPI | 1104472414 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 13, 2019 |
| Last updated in NPPES | May 19, 2020 |
| Certified by provider | May 19, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | — | — |
| Pain Medicine, Pain Medicine | 208VP0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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