Healthcare Provider Details

I. General information

NPI: 1003400953
Provider Name (Legal Business Name): BENJAMIN R. ZEDLER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: BEN R. ZEDLER D.C.

II. Dates (important events)

Enumeration Date: 02/22/2021
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date: 04/09/2021
Reactivation Date: 07/15/2021

III. Provider practice location address

6915 S. RED RD. STE. 227
CORAL GABLES FL
33143
US

IV. Provider business mailing address

6915 S. RED RD. STE. 227
CORAL GABLES FL
33143
US

V. Phone/Fax

Practice location:
  • Phone: 786-227-9402
  • Fax: 786-254-7740
Mailing address:
  • Phone: 305-414-2644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH12629
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: