Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES JACOB STRADER JR., PAC
ActiveMR. CHARLES JACOB STRADER JR., PAC is a Surgical Physician Assistant healthcare provider located in BOCA RATON, Florida. NPI 1891801171 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · BOCA RATON, FL
Registration Details
- NPI Number
- 1891801171
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 21, 2006 (19.957316905764 yrs)
- Last Updated
- Sep 19, 2019
- License
-
PA9108754 (TN)
Practice Information
- Address
-
621 NW 53RD STSUITE 330BOCA RATON, FL, 33487Browse FL providers · Browse ZIP 33487
- Phone
- 8004880279
- Fax
- 8655608525
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in BOCA RATON, FL
| Name | Credential | NPI |
|---|---|---|
| MR. RICK YAROSH | PA | 1083727085 |
| MR. DANIEL TODD BURKHOLZ | P.A.-C | 1427141936 |
| CRAIG SPRENGER | PA-C | 1881762573 |
| MARINA MIKITCHUK | PA | 1861626632 |
| MRS. AMY MIRIAM FORLEITER | PA-C | 1952610461 |
| MARIA FERNANDA KONIECZKO | — | 1891095196 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.