Provider Demographics
NPI:1518210574
Name:ARUTA, ROBERT J (DC, DABCO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:ARUTA
Suffix:
Gender:M
Credentials:DC, DABCO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-3654
Mailing Address - Country:US
Mailing Address - Phone:941-639-1770
Mailing Address - Fax:941-639-1770
Practice Address - Street 1:119 TAYLOR ST
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-3654
Practice Address - Country:US
Practice Address - Phone:941-639-1770
Practice Address - Fax:941-639-1770
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-16
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH2872111N00000X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL453391Medicare UPIN
FL22871Medicare PIN