Provider Demographics
NPI:1528233277
Name:DR JEFFREY L WECHSLER DCPA
Entity Type:Organization
Organization Name:DR JEFFREY L WECHSLER DCPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:WECHSLER
Authorized Official - Suffix:
Authorized Official - Credentials:DCPA
Authorized Official - Phone:407-677-6686
Mailing Address - Street 1:4270 ALOMA AVE STE 162
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-9393
Mailing Address - Country:US
Mailing Address - Phone:407-677-6686
Mailing Address - Fax:407-677-9990
Practice Address - Street 1:4270 ALOMA AVE STE 162
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-9393
Practice Address - Country:US
Practice Address - Phone:407-677-6686
Practice Address - Fax:407-677-9990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3515111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK6387Medicare PIN