# HEALTH PORT CHIROPRACTIC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Health Port Chiropractic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588982367
- **Authorized official:** DR. JASON ROBERT ALVIENE D.C. (OWNER/CHIROPRACTOR)
- **Authorized official phone:** (772) 237-5961

## Contact information

- **Practice address:** 1502 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5449
- **Practice address phone:** (772) 237-5961
- **Practice address fax:** (772) 237-5964
- **Mailing address:** 1502 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5449
- **Mailing address phone:** (772) 237-5961
- **Mailing address fax:** (772) 237-5964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CH9635 | FL | Yes |

## Other

- **Enumeration date:** 05/04/2010
- **Last updated:** 08/09/2010