Individual
DR. GARY W. CHESSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
7560 RED BUG LAKE ROAD, SUITE 2024, OVIEDO, FL 32765-6504
(407) 679-7444
(407) 359-6840
Mailing address
7560 RED BUG LAKE ROAD, SUITE 2024, OVIEDO, FL 32765-6504
(407) 679-7444
(407) 359-6840
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO0002365
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390147500
—
FL
05
—
390171800
—
FL
01
—
625224
AETNA
FL
01
—
65313
BCBS
FL
Enumeration date
09/01/2005
Last updated
06/18/2013
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