Organization · Type 2 NPI

C. Lawrence Slade, M.d., F.a.c.s., LLC

Specialist · Port Orange, FL

NPI number 1578836003 Active

Practice location

3635 S Clyde Morris Blvd, Suite 400
Port Orange, FL 32129-2300

Fax (386) 756-4338

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME40228 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1578836003

C. Lawrence Slade, M.d., F.a.c.s., LLC's National Provider Identifier is 1578836003, issued on Feb 14, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Orange, FL. The record was last updated on Mar 22, 2012.