Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Charles Jacob Strader Jr., PAC

Individual provider Surgical Physician Assistant · NPI 1891801171

Mr. Charles Jacob Strader Jr., PAC is a Surgical Physician Assistant in Boca Raton, Florida. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

621 NW 53rd St Ste 330
Boca Raton, FL 33487
Phone: (800) 488-0279
Fax: (865) 560-8525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9108754 (TN)

Record details

NPI number1891801171
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 21, 2006
Last updated in NPPESSeptember 19, 2019

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