Individual provider · Type 1 NPI

Charles Robert Vickers Jr., DC

Chiropractor · Lakeland, FL

NPI number 1750392064 Active

Practice location

4325 Highland Park Blvd
Lakeland, FL 33813-1671

Fax (863) 647-1793

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH0003329 (FL)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1750392064

Charles Robert Vickers Jr., DC's National Provider Identifier is 1750392064, issued on Aug 11, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lakeland, FL. The record was last updated on Jul 8, 2007.