Individual
DR. CHARLES H LACOSTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11206 PARK BLVD, SEMINOLE, FL 33772-4752
(727) 391-9718
Mailing address
11206 PARK BLVD, SEMINOLE, FL 33772-4752
(727) 391-9718
(727) 291-9718
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH2728
FL
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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