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Organization
CHARLES VICKERS DC PA
Active
Organization
CHARLES VICKERS DC PA
Active
Other names
vickers chiropractic clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ROBERT VICKERS DC (CHIROPRACTOR CLINIC DIRECTOR)
(863) 644-5541
Entity
Organization
Contact information
Practice address
4325 HIGHLAND PARK BLVD, LAKELAND, FL 33813-1671
(863) 644-5541
(863) 647-1793
Mailing address
4325 HIGHLAND PARK BLVD, LAKELAND, FL 33813-1671
(863) 644-5541
(863) 647-1793
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0003329
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051926000
—
FL
Enumeration date
08/11/2006
Last updated
06/17/2008
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