NPI 1699868299

Charles Lynn Dale, CO

Practitioner Orthotic Fitter Bay Pines, FL

Practice location

Address: 10000 Bay Pines Blvd Prosthetic Bldg 23, Bay Pines, FL 33744-5005
Phone: (727) 398-6661
Fax: (727) 398-9538
Mailing address: 11140 105th Avenue N., Largo, FL 33778-4101

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X Licence N/A (FL)

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Registry record

NPI: 1699868299
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2006
Record last updated: 8 Jul 2007

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.