INNOVATIVE BACK SOLUTIONSLLC NPI 1134423346

NPI Information

NPI: 1134423346
Provider Name: INNOVATIVE BACK SOLUTIONS,LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
100 SW 75TH ST
SUITE 203
GAINESVILLE, FL
ZIP 32607
Phone: (352) 505-3993
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INNOVATIVE BACK SOLUTIONS,LLC is a chiropractor in Gainesville, FL. The provider is 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. INNOVATIVE BACK SOLUTIONS,LLC NPI is 1134423346. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 SW 75TH ST
SUITE 203
GAINESVILLE, FL
ZIP 32607-779
Phone: (352) 505-3993
Fax: (352) 332-4419

The provider's authorized official is Robert Ruano .
The authorized official title is Clinic Director and has the following contact phone number (352) 505-3993.

The enumeration date for this NPI number is 1/3/2011 and was last updated on 4/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		7538	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U72672	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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