Organization
SANDRA SHRADER, M.D. DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA SHRADER M.D. (MANAGER)
(321) 473-8989
Entity
Organization
Contact information
Practice address
1700 W HIBISCUS BLVD, MELBOURNE, FL 32901-2615
(321) 473-8989
(321) 802-4656
Mailing address
1700 W HIBISCUS BLVD, MELBOURNE, FL 32901-2615
(321) 473-8989
(321) 802-4656
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME78256
FL
Other
Enumeration date
01/22/2014
Last updated
08/01/2014
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