CHARLES JACOB STRADER

BOCA RATON, FL
NPI1891801171
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: TN  PA9108754)
Enumeration Date2006-08-21
Last Update Date2019-09-19
Business Address
Mr. CHARLES JACOB STRADER PAC
621 NW 53RD ST SUITE 330
BOCA RATON, FL 33487
Phone number: 800-488-0279
Mailing Address
Mr. CHARLES JACOB STRADER PAC
11929 HEATHER WOODS CT
NAPLES, FL 34120
Phone number: 865-599-2163
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