Healthcare Provider Details

I. General information

NPI: 1245684851
Provider Name (Legal Business Name): WESLEY CHENG DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2016
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5360 N FEDERAL HWY STE 200
LIGHTHOUSE POINT FL
33064-7068
US

IV. Provider business mailing address

1608 SE 3RD AVE FL 3
FORT LAUDERDALE FL
33316-2564
US

V. Phone/Fax

Practice location:
  • Phone: 954-933-9600
  • Fax: 954-781-9828
Mailing address:
  • Phone: 954-933-9600
  • Fax: 954-781-9828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS16041
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: