Individual
CHARLES A. MUNDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6645 N SOCRUM LOOP RD, LAKELAND, FL 33809-4182
(863) 853-3000
(863) 859-7640
Mailing address
6645 N SOCRUM LOOP RD, LAKELAND, FL 33809-4182
(863) 853-3000
(863) 859-7640
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH6040
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051100500
—
FL
Enumeration date
10/21/2005
Last updated
10/06/2011
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