Mahaney, Eugene D

Mahaney, Eugene D is an individual health care provider with primary practice located at 7964 Summerlin Lakes Dr , Fort Myers FL 33907-1816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Mahaney, Eugene D can be contacted via phone (239) 333-1177.

Contact Information

Primary practice address
7964 Summerlin Lakes Dr Fort Myers FL 33907-1816
Phone: (239) 333-1177
Fax: (239) 333-1169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME0078073 Florida

Profile Details

NPI number 1619978236
LBN Legal business name Mahaney, Eugene D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2005
Last updated Jan 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619978236 NPPES
Florida MEDICAID 258208200
Florida Other P00258902

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