Charles Vickers DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0003329 Issued in FL

Legal business name

CHARLES VICKERS DC PA

Practice address

4325 Highland Park Blvd
Lakeland, FL 33813-1671

Phone

(863) 644-5541

Fax

(863) 647-1793

NPI assigned

Aug 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles Robert Vickers, DC

Title

Chiropractor Clinic Director

Phone

(863) 644-5541

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• vickers chiropractic clinic Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathryn Diana Convers, M.D.

  • Allergy & Immunology Physician
  • Lakeland, FL
  • NPI 1043417769
  NPD (past)
• Larhonda D. Felder, ARNP

  • Family Nurse Practitioner
  • Lakeland, FL
  • NPI 1407349350
  NPD (past)
• Robert Salzman, APRN, FNP-C

  • Nurse Practitioner
  • Tampa, FL
  • NPI 1629686845
  NPD (past)
• Kelly Sutton, L.M.T.

  • Specialist
  • Lakeland, FL
  • NPI 1073825220
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1245241553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 HIGHLAND PARK BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131671",
            "telephone_number": "863-644-5541",
            "fax_number": "863-647-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 HIGHLAND PARK BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131671",
            "telephone_number": "863-644-5541",
            "fax_number": "863-647-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES VICKERS DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "VICKERS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CHIROPRACTOR CLINIC DIRECTOR",
        "authorized_official_telephone_number": "863-644-5541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0003329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051926000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "vickers chiropractic clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Chapman, MS, RDN, LDN
• Gary J. Chappel, M.D.
• Courtney Chappell, MS, EDS, LMHC
• Charles D. Llano, D.D.S.
• Charles Dack MD
• Paulene Charles-Malcolm, OTD
• Alica Charles
• Carl Charlestin, MD
• Charmaine Health Care LLC
• Lizandra Chase, LMHC

• Chiropractor in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.