CHARLES LYNN DALE

BAY PINES, FL
NPI1699868299
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225000000X Orthotic Fitter
(Licence: FL  N/A)
Enumeration Date2006-10-02
Last Update Date2007-07-08
Business Address
Mr. CHARLES LYNN DALE C.O.
10000 BAY PINES BLVD PROSTHETIC BLDG 23
BAY PINES, FL 33744-5005
Phone number: 727-398-6661
Mailing Address
Mr. CHARLES LYNN DALE C.O.
11140 105TH AVENUE N.
LARGO, FL 33778-4101
Phone number: 727-397-5583