NPI 1588209365

Charlie Mack, EP

Practitioner Clinical Exercise Physiologist Seminole, FL

Practice location

Address: 8900 Park Blvd, Seminole, FL 33777-4119
Phone: (727) 545-4545
Fax: (727) 548-1360
Mailing address: 1745 S Highland Ave, Clearwater, FL 33756-1852

Registered specialties

Clinical Exercise Physiologist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Y00000X

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Registry record

NPI: 1588209365
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Nov 2019
Record last updated: 15 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.