CHARLES DACK MD
Medical Practice in Lakeland, FL

License number
Florida ME36598
Category
Medical Practice
Type
Specialist
Owner
Name: CHARLES DACK MD
Title: OWNER
Phone: (863) 293-3909
Address
Address
114 Mcdonald St, Lakeland, FL 33803
National Provider ID: 1619187465
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Charles Dack

Lakeland, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Charles Dack, M.D., PA
Registration:
Oct 11, 1984
Phone:
(863) 680-1214 (Phone)
Addresses:
114 Mcdonald St, Lakeland, FL 33803
5147 S Lakeland Dr, Lakeland, FL 33813
6112 PIER PLACE DR, Lakeland, FL 33813
State ID:
H25163
Business type:
Domestic for Profit Corporation
Office Managers:
Charles Dack Owner, Medical Doctor, President, Director, inactive,Joan Dack Office Manager, inactive

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