Individual
DR. CHARLES ROBERT VICKERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
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
Enumeration date
08/11/2006
Last updated
07/08/2007
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