Pain Management Consultants Of Southwest Florida, Pl

LBN: Pain Management Consultants Of Southwest Florida, Pl
Pain Management Consultants Of Southwest Florida, Pl is an health care organization with primary practice located at 7964 Summerlin Lakes Dr , Fort Myers FL 33907-1816. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Pain Management Consultants Of Southwest Florida, Pl can be contacted via phone (239) 333-1177, or through Mahaney, Eugene D via phone (239) 333-1177.

Contact Information

Primary practice address
7964 Summerlin Lakes Dr Fort Myers FL 33907-1816
Fax: (239) 333-1169
Website:
Authorized official contact:
Name: Mahaney, Eugene D Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1649284928
LBN Legal business name Pain Management Consultants Of Southwest Florida, Pl
DBA Doing business as
Authorized official Mahaney, Eugene D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2006
Last updated Apr 25th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649284928 NPPES
Florida MEDICAID 273924100
Florida Other 611443800
Florida Other 94990
Florida Other DD8974

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