MEDICARE: STEVEN GARY KESSLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	75614	MA

General Provider Information

NPI Number	:	1043299456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN GARY KESSLER MD

Provider Business Mailing Address
First Line	:	1212 E BROWARD BLVD STE 204
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301-2121
Country	:	US
Telephone Number	:	954-496-4591
Fax Number	:

Provider Business Practice Location Address
First Line	:	1212 E BROWARD BLVD STE 204
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301-2121
Country	:	US
Telephone Number	:	954-496-4591
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2006
Last Update Date	:	03/20/2025

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