MEDICARE: DR. VERNON MARTIN RESSLER III D.C.

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	111N00000X	Chiropractor	CH7951	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	55683	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881681260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VERNON MARTIN RESSLER III D.C.

Provider Business Mailing Address
First Line	:	870 CLARK ST. STE 1040
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-9270
Country	:	US
Telephone Number	:	407-977-5005
Fax Number	:	407-366-3327

Provider Business Practice Location Address
First Line	:	870 CLARK ST. STE 1040
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-9270
Country	:	US
Telephone Number	:	407-687-5415
Fax Number	:	407-366-3327

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

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	01/28/2011

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