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

Dr. Charley T. Myrick III, DO

Individual provider Diagnostic Radiology Physician · NPI 1457342727

Dr. Charley T. Myrick III, DO is a Diagnostic Radiology in Lakeland, Florida. Qualified in 1998, 28 years ago. Practices with Radiology and Imaging Specialists of Lakeland, a 70-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
28
Licensed in
FL
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2125 Crystal Grove Dr
Lakeland, FL 33801-6875
Phone: (863) 688-2334
Fax: (863) 577-0299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence OS8935 (FL)

Record details

NPI number1457342727
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedNovember 4, 2005
Last updated in NPPESSeptember 26, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Radiology And Imaging Specialists Of Lakeland — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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