Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | CH2872 | FL |
Y | 111NX0800X | Chiropractor Orthopedic Specialist | CH2872 | FL |
NPI | 1518210574 |
---|---|
Provider Name | Dr. Robert J Aruta |
First Address | Punta Gorda, FL 33950-3654 |
Second Address | Punta Gorda, FL 33950-3654 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2012 |
Last Update Date | 23/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
453391 | (02) | FL |