Provider Demographics
NPI:1821500158
Name:RUANE, CHRISTINE JOAN (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:JOAN
Last Name:RUANE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 TERRA MANGO LOOP STE B
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-8507
Mailing Address - Country:US
Mailing Address - Phone:407-214-7037
Mailing Address - Fax:407-337-5985
Practice Address - Street 1:125 TERRA MANGO LOOP STE B
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-8507
Practice Address - Country:US
Practice Address - Phone:407-214-7037
Practice Address - Fax:407-337-5985
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-26
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12338111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor