Provider Demographics
NPI:1134434954
Name:LIFESTRENGTH FAMILY CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:LIFESTRENGTH FAMILY CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CADE
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:COPELAND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-776-1431
Mailing Address - Street 1:4280 TAMIAMI TRL E STE 102
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34112-6705
Mailing Address - Country:US
Mailing Address - Phone:239-774-5433
Mailing Address - Fax:239-774-5409
Practice Address - Street 1:4280 TAMIAMI TRL E STE 102
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-6705
Practice Address - Country:US
Practice Address - Phone:239-774-5433
Practice Address - Fax:239-774-5409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-17
Last Update Date:2012-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9910111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty