OrganizationActive
Spine Center of Fl LLC
NPI 1104472414 · Interventional Pain Medicine Physician · Fort Myers, FL
Provider details
- NPI number
- 1104472414
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eugene Mahaney, Owner/Authorized Official(313) 593-5000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine Physician208VP0000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7964 Summerlin Lakes Dr
Fort Myers, FL 33907-1816
Phone: (301) 945-5111
Street-level locationGet directions
Mailing address
11921 Rockville Pike Ste 505
Rockville, MD 20852-2758
Registry dates
- Enumerated
- 2019-08-13
- Last updated
- 2020-05-19
- Certified
- 2020-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.