Provider Demographics
NPI:1982681052
Name:WESSLER, GREGG L (DC)
Entity type:Individual
Prefix:DR
First Name:GREGG
Middle Name:L
Last Name:WESSLER
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2825 N STATE ROAD 7 STE 302
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5737
Mailing Address - Country:US
Mailing Address - Phone:954-500-9355
Mailing Address - Fax:954-501-0835
Practice Address - Street 1:2825 N STATE ROAD 7 STE 302
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5737
Practice Address - Country:US
Practice Address - Phone:954-500-9355
Practice Address - Fax:954-501-0835
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-29
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6836111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55284AMedicare ID - Type Unspecified
FLU60532Medicare UPIN