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Contact Information

CHARLES DACK, MD
114 MCDONALD ST
LAKELAND, FL33803-1179
 Phone: 863-293-3909
 Fax: 863-293-1909
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for CHARLES DACK · (Male)

NPI Number 1447273826
Status Active
Credentials MD
Entity Individual
Enumeration date 07/26/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME36598
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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