Organization
3RD-LEG OF THE STOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A SHADER DC (PRES)
(954) 341-6446
Entity
Organization
Contact information
Practice address
800 JEFFERY ST APT 407, BOCA RATON, FL 33487-4166
(954) 341-6446
Mailing address
800 JEFFERY ST APT 407, BOCA RATON, FL 33487-4166
(954) 341-6446
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
CH5524
FL
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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