Organization
CHIROPRACTIC FIRST LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGG L WESSLER DC (PRESIDENT)
(954) 424-1142
Entity
Organization
Contact information
Practice address
8600 W STATE ROAD 84 STE C, DAVIE, FL 33324-4558
(954) 424-1142
(954) 424-1143
Mailing address
8600 W STATE ROAD 84 STE C, DAVIE, FL 33324-4558
(954) 424-1142
(954) 424-1143
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0006836
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55284
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/05/2006
Last updated
08/22/2020
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