Provider Demographics
NPI:1821807066
Name:GAMBLE, TREVOR GREGORY (DC)
Entity type:Individual
Prefix:DR
First Name:TREVOR
Middle Name:GREGORY
Last Name:GAMBLE
Suffix:
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 1:8403 BALM ST
Mailing Address - Street 2:
Mailing Address - City:WEEKI WACHEE
Mailing Address - State:FL
Mailing Address - Zip Code:34607-4419
Mailing Address - Country:US
Mailing Address - Phone:352-310-3330
Mailing Address - Fax:
Practice Address - Street 1:8403 BALM ST
Practice Address - Street 2:
Practice Address - City:WEEKI WACHEE
Practice Address - State:FL
Practice Address - Zip Code:34607-4419
Practice Address - Country:US
Practice Address - Phone:352-310-3330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH15299111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor