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1417581703
CHARLES AUSTIN BUERK
LAKELAND, FL
NPI
1417581703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant Surgical
(Licence: FL PA9116074)
Enumeration Date
2020-02-26
Last Update Date
2022-09-18
Business Address
CHARLES AUSTIN BUERK
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805-4543
Phone number: 863-687-1321
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Mailing Address
CHARLES AUSTIN BUERK
1324 LAKELAND HILLS BLVD ATTN: MANAGED CARE DEPT
LAKELAND, FL 33805-4543
Phone number: 863-687-1100
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