Healthcare Provider Details

I. General information

NPI: 1508108721
Provider Name (Legal Business Name): GREGORY REHLING DVM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2013
Last Update Date: 08/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28400 OLD 41 RD SUITE1
BONITA SPRINGS FL
34135-6812
US

IV. Provider business mailing address

28400 OLD 41 RD SUITE1
BONITA SPRINGS FL
34135-6812
US

V. Phone/Fax

Practice location:
  • Phone: 239-992-8387
  • Fax: 239-949-0232
Mailing address:
  • Phone: 239-992-8387
  • Fax: 239-949-0232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174M00000X
TaxonomyVeterinarian
License NumberVET.0009655
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License NumberVM13528
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: