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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