Mack, Charlie

Mack, Charlie is an individual health care provider with primary practice located at 8900 Park Blvd , Seminole FL 33777-4119. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist, which is considered as his primary health care specialty. Mack, Charlie can be contacted via phone (727) 545-4545.

Contact Information

Primary practice address
8900 Park Blvd Seminole FL 33777-4119
Phone: (727) 545-4545
Fax: (727) 548-1360
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist 224Y00000X Florida

Profile Details

NPI number 1588209365
LBN Legal business name Mack, Charlie
Credentials EP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2019
Last updated Nov 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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