Provider Demographics
NPI:1881681260
Name:RESSLER, VERNON MARTIN III (DC)
Entity Type:Individual
Prefix:DR
First Name:VERNON
Middle Name:MARTIN
Last Name:RESSLER
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 CLARK ST. STE 1040
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9270
Mailing Address - Country:US
Mailing Address - Phone:407-977-5005
Mailing Address - Fax:407-366-3327
Practice Address - Street 1:870 CLARK ST. STE 1040
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-9270
Practice Address - Country:US
Practice Address - Phone:407-687-5415
Practice Address - Fax:407-366-3327
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-30
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7951111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55683OtherBCBS
FL381358400Medicaid
FL55683Medicare ID - Type Unspecified
FL55683OtherBCBS