Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Dack MD

Organization Specialist · NPI 1619187465

Charles Dack MD is a Specialist in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007

Practice location Address checks out

114 McDonald St
Lakeland, FL 33803-1179
Phone: (863) 293-3909
Fax: (863) 293-1909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME36598 (FL)

Record details

NPI number1619187465
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Dack — Owner · (863) 293-3909
NPI enumeratedMay 23, 2007
Last updated in NPPESAugust 22, 2020
Mailing address114 McDonald St, Lakeland, FL 33803-1179

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