CHARLES DACK MD
NPI 1619187465
Specialist in Lakeland, FL

Q: What is Charles Dack MD's NPI number?

The NPI number for Charles Dack MD is 1619187465. It was assigned to this organization in the NPPES registry on May 23, 2007.

Q: What is Charles Dack MD's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Dack MD was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 23, 2007

114 MCDONALD ST, LAKELAND, FL 33803(863) 293-3909(863) 293-1909 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Charles Dack Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES DACK MD (NPI 1619187465) is a healthcare organization registered as a specialist in Lakeland, Florida and active in the NPI registry since May 2007. The organization lists Charles Dack, Owner, as its authorized official.

NPPES Registry Identity

NPI1619187465

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameCHARLES DACK MD

Location Address114 MCDONALD STLakeland, FL 33803-1179

Mailing Address114 Mcdonald StLakeland, FL 33803-1179 · (863) 293-3909 · Fax (863) 293-1909

Phone(863) 293-3909

Fax(863) 293-1909

Organization SubpartNo

Authorized OfficialCharles DackOwner · (863) 293-3909

Enumeration DateMay 23, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1619187465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME36598

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

114 MCDONALD ST, Lakeland, FL 33803

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES DACK MD

Legal Medicine

114 MCDONALD ST
LAKELAND, FL 33803

Polk County (863) 293-3909

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Dack MD's NPI number?

The NPI number for Charles Dack MD is 1619187465. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Charles Dack MD located?

Charles Dack MD is located at 114 Mcdonald St, Lakeland, FL 33803. The listed phone number is (863) 293-3909.

What is Charles Dack MD's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Charles Dack MD was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.