Individual
MR. CHARLES JACOB STRADER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
621 NW 53RD ST, SUITE 330, BOCA RATON, FL 33487
(800) 488-0279
(865) 560-8525
Mailing address
11929 HEATHER WOODS CT, NAPLES, FL 34120
(865) 599-2163
(865) 694-7907
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9108754
TN
Other
Enumeration date
08/21/2006
Last updated
09/19/2019
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