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Dr. Charley T. Myrick III, DO
Diagnostic Radiology Physician in Lakeland, Florida
NPI 1457342727

Charley T. Myrick III is a Diagnostic Radiology Physician based in Lakeland, FL and is specialized in Diagnostic Radiology. Charley T. Myrick III practices in Lakeland, FL and has the professional credentials of DO. The NPI Number for Charley T. Myrick III is 1457342727 and holds a License No. OS8935 (Florida).

The current practice location address for Charley T. Myrick III is 2125 Crystal Grove Dr, Lakeland, FL and can be reached out via phone at 863-688-2334 and via fax at 863-577-0299.

Location: 2125 Crystal Grove Dr, Lakeland, FL, 33801-6875
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457342727
Provider Name
Charley T. Myrick III
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2125 Crystal Grove Dr, Lakeland, FL, 33801-6875
Phone Number
863-688-2334
Fax Number
863-577-0299
Provider Enumeration Date
11/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
71825 01 FL BCBS
266992700 05 FL
institution
Provider Business Practice Location Address Details
Address
2125 Crystal Grove Dr
City
Lakeland
State
Florida
Zip
33801-6875
Phone Number
863-688-2334
Fax Number
863-577-0299
person
Provider Business Mailing Address Details
Address
2125 Crystal Grove Dr
City
Lakeland
State
Florida
Zip
33801-6875
Phone Number
863-688-2334
Fax Number
863-577-0299
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
OS8935 (Florida)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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