Provider Demographics
NPI:1053632679
Name:COPELAND, CADE MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:CADE
Middle Name:MICHAEL
Last Name:COPELAND
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 1:4280 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
Is Sole Proprietor?:No
Enumeration Date:2010-06-17
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9910111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor