Healthcare Provider Details
I. General information
NPI: 1023945565
Provider Name (Legal Business Name): CAVIN JIAPING CHEE
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1967 SE PORT ST LUCIE BLVD
PORT ST LUCIE FL
34952-5536
US
IV. Provider business mailing address
1967 SE PORT ST LUCIE BLVD
PORT ST LUCIE FL
34952-5536
US
V. Phone/Fax
- Phone: 772-335-3110
- Fax: 772-398-0704
- Phone: 772-335-3110
- Fax: 772-398-0704
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | CH15924 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: