OrganizationActive
Charles Dack MD
NPI 1619187465 · Specialist · Lakeland, FL
Charles Dack MD is a Specialist organization in Lakeland, FL (NPI 1619187465).
Provider details
- NPI number
- 1619187465
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Charles Dack, Owner(863) 293-3909
- License
- ME36598 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
114 Mcdonald St
Lakeland, FL 33803-1179
Phone: (863) 293-3909
Fax: (863) 293-1909
Approximate (ZIP-level) locationGet directions
Mailing address
114 Mcdonald St
Lakeland, FL 33803-1179
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2020-08-22
Frequently asked questions
- What is Charles Dack MD's NPI number?
- Charles Dack MD's National Provider Identifier (NPI) is 1619187465, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Charles Dack MD?
- Charles Dack MD is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Charles Dack MD located?
- Charles Dack MD's practice location on file with NPPES is 114 Mcdonald St, Lakeland, FL 33803-1179.
- What is Charles Dack MD's phone number?
- The practice phone number listed in the NPPES registry for Charles Dack MD is (863) 293-3909.
- Who is the authorized official for Charles Dack MD?
- The authorized official listed on Charles Dack MD's NPPES record is Charles Dack, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Charles Dack MD's NPI active?
- Yes — Charles Dack MD's NPI (1619187465) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.