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Organization

ALAN F. SHADER, D.P.M

Active
Parent organization
ALAN F. SHADER, D.P.M
Organization subpart
Yes

Provider details

NPI number
Legal business name
ALAN F. SHADER, D.P.M
Authorized official
ALAN F. SHADER D.P.M. (MEDICAL DIRECTOR)
(305) 681-2600
Entity
Organization

Contact information

Practice address
755 E 49TH ST, HIALEAH, FL 33013-1907
(305) 681-2600
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
10/05/2010
Last updated
02/28/2011
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