MR. CHARLIE MACK II (NPI# 1588209365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588209365 |
| Entity Type | Individual |
| Full Name | MR. CHARLIE MACK II |
| Credential | EP |
| Practice Address |
8900 Park Blvd Seminole FL 33777-4119 |
| Mailing Address |
1745 S Highland Ave Clearwater FL 33756-1852 |
| Practice Telephone | 7275454545 |
| Practice Fax Number | 7275481360 |
| Mailing Telephone | 7277670955 |
| Mailing Fax Number | 7275870527 |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Y00000X | Clinical Exercise Physiologist | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1115 Florida Ave, Palm Harbor, FL 346834312 | 7272592300 | 2722592305 |
| 1745 S Highland Ave, Clearwater, FL 337561852 | 7277670955 | 7275870527 |
| Street Address |
8900 PARK BLVD |
| City | SEMINOLE |
| State | FL |
| Zip Code | 33777-4119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669400586 | Kenneth Arthur Neifeld | Internal Medicine | 8900 Park Blvd, Seminole, FL 33777-4119 | 2006-06-29 |
| 1508330366 | Britney M Morant | Dietitian, Registered | 8900 Park Blvd, Seminole, FL 33777-4119 | 2019-01-15 |
| 1629562640 | All Care Medical Consultants Pa | Health Educator | 8900 Park Blvd, Seminole, FL 33777-4119 | 2018-06-22 |
| 1225528086 | Grace Rachel Wright-wilson | Health Educator | 8900 Park Blvd, Seminole, FL 33777-4119 | 2018-05-16 |
| 1265940910 | All Care Medical Consultants, Pa | Internal Medicine | 8900 Park Blvd, Seminole, FL 33777-4119 | 2018-01-16 |
| 1780190793 | All Care Wellness and Aesthetics, LLC | Internal Medicine | 8900 Park Blvd, Seminole, FL 33777-4119 | 2017-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824194 | Michael Abenoja | Chiropractor | 9824 83rd Street, Seminole, FL 33777 | 2019-08-01 |
| 1922585405 | Patricia Ann Nickol | Developmental Therapist | 8988, 79th Ave N, Seminole, FL 33777 | 2018-07-26 |
| 1558748855 | Angel Flights, LLC | Ambulance | 10294 Shady Oak Lane, Seminole, FL 33777 | 2015-05-06 |
| 1831583350 | Cecilia Leticia Chandler | Nurse Practitioner | 9048 109th Terrace North, Largo, FL 33777 | 2015-03-23 |
| 1699024596 | Betsy Silverio | Social Worker | 8700 Flamevine Ave, Seminole, FL 33777 | 2012-09-06 |
| 1881965655 | Kayte Clifford | Speech-Language Pathologist | 9035 Bryan Dairy Road, Largo, FL 33777 | 2012-01-25 |
| 1750666913 | Lawrence Daniel Williams | Surgery | 8235 Lapin Ct., Seminole, FL 33777 | 2011-10-19 |
| 1033433107 | Josephine C Eligado | Anesthesiology | 8764 Baywood Park Drive, Seminole, FL 33777 | 2010-03-18 |
| 1811222847 | Clearwater Surgical Associates, Pllc | Surgery | 8839 Bryan Dairy Road, Suite 310, Largo, FL 33777 | 2009-10-08 |
| 1811154826 | Joseph J Arvilla | Registered Nurse | 9476 88th Terrace North, Seminole, FL 33777 | 2008-05-19 |
| Find all providers in zip 33777 | ||||
| Taxonomy Code | 224Y00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Clinical Exercise Physiologist |
| A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders. |
| Notes: Source: What is a Clinical Exercise Physiologist? Clinical Exercise Physiology Association (CEPA), CEPA Executive Board, 2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174775 | Renee Jeffreys Heil | Clinical Exercise Physiologist | 15971 Mcgregor Blvd, Fort Myers, FL 33908-2552 | 2020-11-04 |
| 1326648080 | Robert C Halgas II | Clinical Exercise Physiologist | 5570 Spectra Cir Apt 201, Fort Myers, FL 33908-5392 | 2020-10-30 |
| 1144766155 | Robert Hughes | Clinical Exercise Physiologist | 936 Schumann Dr, Sebastian, FL 32958-5332 | 2017-01-13 |
| 1508226143 | Cordoba Management and Consulting LLC | Clinical Exercise Physiologist | 517 Campus St, Suite B, Celebration, FL 34747-4613 | 2016-02-24 |
| 1831459676 | Karen Celia Marchelletta | Clinical Exercise Physiologist | 508 Les Jardin Dr, Palm Beach Gardens, FL 33410-1608 | 2012-05-28 |
| 1689944746 | Reginald Laroche | Clinical Exercise Physiologist | 14096 Sw 51 Ln, Miramar, FL 33027 | 2012-01-06 |
| 1467721084 | Jeff A Dolgan | Clinical Exercise Physiologist | 3315 Palomino Drive, Unit 412, Davie, FL 33024-0000 | 2011-12-28 |
| 1225305030 | Hazel Janet Deluca | Clinical Exercise Physiologist | 3250 Cleveland Clinic Blvd., Weston, FL 33331 | 2011-11-22 |
| 1255840344 | James Cleary | Clinical Exercise Physiologist | 8900 N. Kendall Dr, Miami Cancer Institute, Miami, FL 33176-2119 | 2017-09-21 |
| 1639618986 | Joann Santiago-charles | Clinical Exercise Physiologist | 8900 N Kendall Dr, Miami Cancer Institute, Miami, FL 33176-2118 | 2017-02-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. CHARLIE MACK II.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.