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Organization
INNOVATIVE BACK SOLUTIONS,LLC
Active
Organization
INNOVATIVE BACK SOLUTIONS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT RUANO (CLINIC DIRECTOR)
(352) 505-3993
Entity
Organization
Contact information
Practice address
100 SW 75TH ST, SUITE 203, GAINESVILLE, FL 32607-5779
(352) 505-3993
(352) 332-4419
Mailing address
100 SW 75TH ST, SUITE 203, GAINESVILLE, FL 32607-5779
(352) 505-3993
(352) 332-4419
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7538
FL
Other
Enumeration date
01/03/2011
Last updated
04/11/2011
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