INNOVATIVE BACK SOLUTIONS,LLC - NPI 1134423346 - Chiropractor in Gainesville, FL

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

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About Innovative Back Solutions,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE BACK SOLUTIONS,LLC (NPI 1134423346) is a healthcare organization registered as a chiropractor in Gainesville, Florida and active in the NPI registry since January 2011. The organization lists Robert Ruano, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1134423346

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameINNOVATIVE BACK SOLUTIONS,LLC

Location Address100 SW 75TH ST, SUITE 203Gainesville, FL 32607-5779

Mailing Address100 Sw 75th St, Suite 203Gainesville, FL 32607-5779 · (352) 505-3993 · Fax (352) 332-4419

Phone(352) 505-3993

Fax(352) 332-4419

Organization SubpartNo

Authorized OfficialRobert RuanoClinic Director · (352) 505-3993

Enumeration DateJanuary 3, 2011

Last NPPES UpdateApril 11, 2011

✔ NPI 1134423346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in FL · 7538

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

100 SW 75TH ST, Gainesville, FL 32607

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Other Identifiers 1

Medicare UPINU72672

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP