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Individual

CHARLES LUCKEY DUNN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1720 DUNLAWTON AVE STE 2, PORT ORANGE, FL 32127-2916
(866) 400-3376
(386) 322-8370
Mailing address
151 SOUTHHALL LN STE 300, MAITLAND, FL 32751-7172
(866) 400-3376
(407) 650-3455

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME150625
FL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME150625
FL

Other

Enumeration date
02/03/2014
Last updated
06/04/2024
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