MEDICARE: INNOVARE SPINE & WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1982531547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNOVARE SPINE & WELLNESS LLC

Provider Business Mailing Address
First Line	:	1417 LITCHEM RD
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32712-3068
Country	:	US
Telephone Number	:	352-250-1679
Fax Number	:

Provider Business Practice Location Address
First Line	:	737 W OAK RIDGE RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-4804
Country	:	US
Telephone Number	:	407-203-3987
Fax Number	:	407-203-4023

Authorized Official
Title or Position	:	ATTORNEY
Name	:	SANFORD TOPKIN
Credential	:	ESQ
Telephone Number	:	954-422-8422

Provider Enumeration Date	:	05/07/2026
Last Update Date	:	05/07/2026

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Directions to “INNOVARE SPINE & WELLNESS LLC ” Practice Location

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