Individual
DR. MARK SHADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
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
01/02/2014
Last updated
01/02/2014
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