MR. CHARLES LYNN DALE (NPI# 1699868299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699868299 |
| Entity Type | Individual |
| Full Name | MR. CHARLES LYNN DALE |
| Credential | C.O. |
| Practice Address |
10000 Bay Pines Blvd Prosthetic Bldg 23 Bay Pines FL 33744-5005 |
| Mailing Address |
11140 105th Avenue N. Largo FL 33778-4101 |
| Practice Telephone | 7273986661 |
| Practice Fax Number | 7273989538 |
| Mailing Telephone | 7273975583 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | N/A | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497801633 | Charles Robert Dale | Optometrist | 3002 Harborview Dr, Gig Harbor, WA 98335-1962 | 2007-01-27 |
| 1265759294 | Charles Dale Jr. | Counselor | 604 W 10th St, Guadenzia Fresh Start, Wilmington, DE 19801-1424 | 2010-04-30 |
| Street Address |
10000 BAY PINES BLVD PROSTHETIC BLDG 23 |
| City | BAY PINES |
| State | FL |
| Zip Code | 33744-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164423596 | Lawrence Alan Gaulkin | Family Medicine | 10000 Bay Pines Blvd, Bay Pines, FL 33744 | 2005-08-09 |
| 1225638943 | Mary Catherine Mercer | Psychologist | 10000 Bay Pines Blvd, Mh&bss (116), Bay Pines, FL 33744 | 2020-10-30 |
| 1407456650 | Alisah N Lauderdale | Social Worker | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-10-27 |
| 1710584503 | Jeffrey Scott Mcdonald | Counselor | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-10-05 |
| 1841897642 | Cecelia Anne Bushery | Counselor | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-10-05 |
| 1982201141 | Brett Marshel Taylor | Social Worker | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-10-01 |
| 1588271951 | Jennifer Ngoc Ngo | Pharmacist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-09-29 |
| 1750998274 | Nara Celeste Lee | Dietitian, Registered | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-09-29 |
| 1972110393 | Nardine-mary Yassa | Pharmacist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-09-29 |
| 1881201309 | Quynh-nhu Courtney Truong | Pharmacist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267258 | Katlyn Shelley Starr | Social Worker | 10000 Bay Pines Vahca, Bay Pines, FL 33744 | 2020-08-31 |
| 1518508555 | Jesse James Callahan | Registered Nurse | Jerri-jean Miller, Clinical Staff Affairs Va Healthcare System, Bay Pines, FL 33744 | 2019-10-01 |
| 1891347118 | Shakisha Lawson | Nurse Practitioner | Bay Pines Va Hospital, 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2019-07-16 |
| 1427519610 | Channing Anne Sofko | Psychologist | Bay Pines Vahcs, 10000 Bay Pines Blvd, Bay Pines, FL 33744 | 2019-03-29 |
| 1255710299 | Lisa Ann Snyder | Social Worker | 10000 Bay Pines Blvd Bldg 102 Room D185, Bay Pines Vahcs (116d), St Petersburg, FL 33744 | 2015-05-22 |
| 1598011272 | Emily G King | Clinical Neuropsychologist | 10,000 Bay Pines Blvd (116b), Bay Pines, FL 33744 | 2012-07-31 |
| 1245494376 | Saifu Daniel | Internal Medicine | 10000 Bay Pine Blvd, Bay Pines Va Hospital, Bay Pines, FL 33744 | 2008-07-17 |
| 1114195047 | Brook Hay | Psychologist | 10000 Bay Pines Blvd (bay Pines Va), Bldg. 102, C Wing (116c), Bay Pines, FL 33744 | 2008-02-13 |
| 1831399260 | Rodrique A Rodney | Pharmacist | Bay Pines Va 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2007-07-24 |
| 1831395979 | Jennifer Lynn Thompson | Nurse Practitioner | 10,000 Baypines Blvd, Bldg 101, St. Petersburg, FL 33744 | 2007-06-25 |
| Find all providers in zip 33744 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265901110 | Elite Care Medical Supplies LLC | Orthotic Fitter | 1890 Kingsley Ave Ste. 114, Orange Park, FL 32073 | 2018-11-21 |
| 1023523743 | Charles Smith IIi | Orthotic Fitter | 220 N Sykes Creek Pkwy Ste 200, Merritt Island, FL 32953-3490 | 2017-12-04 |
| 1023444361 | Jay J Rhodes | Orthotic Fitter | 621 Cape Coral Pkwy E, Suite 1, Cape Coral, FL 33904-7515 | 2013-09-18 |
| 1386906360 | Kyle Smith | Orthotic Fitter | 2401 Executive Plaza Rd, Suite 1, Pensacola, FL 32504-8277 | 2012-06-14 |
| 1881928331 | Scott Philip Bransdorf | Orthotic Fitter | 1290 N Federal Hwy, Pompano Beach, FL 33062-3705 | 2009-09-30 |
| 1497939573 | David Rodney Marshall | Orthotic Fitter | 585 State Road 13, Suite 100, Fruit Cove, FL 32259-3175 | 2007-12-24 |
| 1003036633 | Paul Weiner | Orthotic Fitter | 7036 W Palmetto Park Rd Ste 59, Boca Raton, FL 33433-3404 | 2007-04-26 |
| 1851427363 | Harris Comfort Shoes Inc | Orthotic Fitter | 406 Via De Palma, Boca Raton, FL 33432 | 2007-02-26 |
| 1659426187 | A & D Shoes Inc | Orthotic Fitter | 888 Colorado Avenue, Stuart, FL 34994 | 2007-01-24 |
| 1518016492 | Shepherd Lee Beasley | Orthotic Fitter | 2311 Santa Barbara Blvd, Suite 105, Cape Coral, FL 33991-4394 | 2007-01-09 |
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| 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.