CHARLES DACK

LAKELAND, FL
NPI1447273826
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy173000000X Legal Medicine
(Licence: FL  ME36598)
Enumeration Date2006-07-26
Last Update Date2007-07-08
Business Address
-- CHARLES DACK MD
114 MCDONALD ST
LAKELAND, FL 33803-1179
Phone number: 863-293-3909
Mailing Address
-- CHARLES DACK MD
114 MCDONALD ST
LAKELAND, FL 33803-1179
Phone number: 863-293-3909
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