Charles Dack, MD

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

ME36598 Issued in FL

Practice address

114 McDonald St
Lakeland, FL 33803-1179

Phone

(863) 293-3909

Fax

(863) 293-1909

NPI assigned

Jul 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charles Dack MD

  • Specialist
  • Lakeland, FL
  • NPI 1619187465
  NPD (past) Authorized official
• Environmental Concepts and Services

  • Health Maintenance Organization
  • Lakeland, FL
  • NPI 1730433590
  NPD (past)
• Winter Haven Hospital Inc

  • General Acute Care Hospital
  • Winter Haven, FL
  • NPI 1477599975
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447273826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MCDONALD ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031179",
            "telephone_number": "863-293-3909",
            "fax_number": "863-293-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MCDONALD ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031179",
            "telephone_number": "863-293-3909",
            "fax_number": "863-293-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACK",
        "first_name": "CHARLES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME36598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D. Franklin Schultz, PH.D., Inc.
• Joseph D'Alessandro
• Joseph Anthony D'Alonzo Jr., DO
• Mary Elizabeth D'Aunoy, M.D.
• Laverne D'Silva
• Jinky Abelida Dagney, APRN
• Dainery M. Fuentes, PHD
• Ashley Agnini Dale, DDS
• Laura Dalhover, PHARMD
• Jihan Dam

• Legal Medicine in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Legal Medicine in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.