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Individual

MR. CHARLES F LUCKHARDT II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.ED.,C.P.O.,L.P.O.

Contact information

Practice address
1411 NW 23RD AVE, CHIEFLAND, FL 32626-1976
(352) 493-0360
(352) 493-0369
Mailing address
1411 NW 23RD AVE, CHIEFLAND, FL 32626-1976
(352) 493-0360
(352) 493-0369

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
POR92
FL
224P00000X
Prosthetist
POR92
FL

Other

Enumeration date
08/31/2006
Last updated
11/16/2010
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