CHARLES F LUCKHARDT

CHIEFLAND, FL
NPI1710098835
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy222Z00000X 
(Licence: FL  POR92)
Additional Taxonomies224P00000X Prosthetist
(Licence: FL  POR92)
Enumeration Date2006-08-31
Last Update Date2010-11-16
Business Address
Mr. CHARLES F LUCKHARDT M.ED.,C.P.O.,L.P.O.
1411 NW 23RD AVE
CHIEFLAND, FL 32626-1976
Phone number: 352-493-0360
Mailing Address
Mr. CHARLES F LUCKHARDT M.ED.,C.P.O.,L.P.O.
1411 NW 23RD AVE
CHIEFLAND, FL 32626-1976
Phone number: 352-493-0360
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