Provider Demographics
NPI:1821156944
Name:ROBINER, RONALD ALAN (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:ALAN
Last Name:ROBINER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1444 W BUSCH BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-7602
Mailing Address - Country:US
Mailing Address - Phone:813-931-9094
Mailing Address - Fax:813-915-0261
Practice Address - Street 1:1444 W BUSCH BLVD STE B
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-7602
Practice Address - Country:US
Practice Address - Phone:813-931-9094
Practice Address - Fax:813-915-0261
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH2174111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH2174OtherLICENSE #
FL89717Medicare ID - Type Unspecified
FLCH2174OtherLICENSE #