Charles Dack Md is a Specialist in Lakeland, Florida. Charles Dack Md practices all healthcare services and medical treatments related to Specialist. The NPI Number for Charles Dack Md is 1619187465. The last update date is 2020-08-22.
Charles Dack Md's current location address is 114 Mcdonald St, Lakeland, Florida. You can contact this provider via phone number 8632933909 and fax number 8632931909. The mailing address for Charles Dack Md is 114 Mcdonald St, Lakeland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Charles Dack Md |
|---|---|
| Address | 114 Mcdonald St, Lakeland, Florida |
| Phone Number | 8632933909 |
| Fax Number | 8632931909 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Dack Charles |
| Credentials | MD |
| Telephone Number | 8632933909 |
NPI Number Detail
| NPI Number | 1619187465 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 114 Mcdonald St |
|---|---|
| City | Lakeland |
| State | Florida (FL) |
| Post Code | 338031179 |
| Phone Number | 8632933909 |
| Fax Number | 8632931909 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME36598 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique identifier code issued to Charles Dack Md by the Centers for Medicare & Medicaid Services (CMS)?
The Charles Dack Md has been assigned the NPI (National Provider Identifier) 1619187465. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Charles Dack Md's facilities are geographically located?
The facilities of Charles Dack Md are physically situated at the following location: 114 Mcdonald St, Lakeland, FL, 338031179.
What is Charles Dack Md's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charles Dack Md's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619187465 to Charles Dack Md?
The Centers for Medicare & Medicaid Services originally issued the 1619187465 to Charles Dack Md on 2007-05-23.
As of what date were the details related to Charles Dack Md most recently updated or revised?
The information pertaining to Charles Dack Md, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.