Healthcare Provider Details

I. General information

NPI: 1578178380
Provider Name (Legal Business Name): SPINEUGENIX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2020
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2030 BEE RIDGE RD STE B
SARASOTA FL
34239-6108
US

IV. Provider business mailing address

7429 MONTE VERDE
SARASOTA FL
34238-4562
US

V. Phone/Fax

Practice location:
  • Phone: 941-845-0233
  • Fax: 941-538-6063
Mailing address:
  • Phone: 941-845-0233
  • Fax: 941-538-6063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. EUGENE PEREIRA
Title or Position: OWNER
Credential: MD
Phone: 941-845-0233