Innovative Back Solutions,LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7538 Issued in FL

Legal business name

INNOVATIVE BACK SOLUTIONS,LLC

Practice address

100 SW 75TH St
Suite 203
Gainesville, FL 32607-5779

Phone

(352) 505-3993

Fax

(352) 332-4419

NPI assigned

Jan 3, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert RuanoNPI 1386749364

Title

Clinic Director

Phone

(352) 505-3993

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert S Ruano

  • Chiropractor
  • Gainesville, FL
  • NPI 1386749364
  Medicare reassignment NPD Authorized official
• Deborah Hudson, D.C

  • Chiropractor
  • Gainesville, FL
  • NPI 1437226909
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1134423346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SW 75TH ST",
            "address_2": "SUITE 203",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326075779",
            "telephone_number": "352-505-3993",
            "fax_number": "352-332-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SW 75TH ST",
            "address_2": "SUITE 203",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326075779",
            "telephone_number": "352-505-3993",
            "fax_number": "352-332-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE BACK SOLUTIONS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "RUANO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "352-505-3993",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "7538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronika Innis
• Innocent Odocha MD PA
• Innocent Odocha, M.D.,P.a.
• Innovate Health Medical Clinic Corp
• Innovation Home Health Care LLC
• Innovexlab
• Brendan Toshiyasu Inouye, M.D.
• Gabriella Insabella, PA-C
• Insightful Counseling Services, Inc.
• Domenic Inskip

• Chiropractor in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.