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C. Lawrence Slade, M.d., F.a.c.s., Llc
Specialist in Port Orange, Florida
NPI 1578836003

C. Lawrence Slade, M.d., F.a.c.s., Llc is a Specialist based in Port Orange, FL. C. Lawrence Slade, M.d., F.a.c.s., Llc practices in Port Orange, FL. The NPI Number for C. Lawrence Slade, M.d., F.a.c.s., Llc is 1578836003 and holds a License No. ME40228 (Florida).

The current practice location address for C. Lawrence Slade, M.d., F.a.c.s., Llc is 3635 S Clyde Morris Blvd, Port Orange, FL and can be reached out via phone at 386-756-9400 and via fax at 386-756-4338.

Location: 3635 S Clyde Morris Blvd, Port Orange, FL, 32129-2300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578836003
Provider Name
C. Lawrence Slade, M.d., F.a.c.s., Llc
Credential
Provider Entity Type
Organization
Address
3635 S Clyde Morris Blvd, Port Orange, FL, 32129-2300
Phone Number
386-756-9400
Fax Number
386-756-4338
Provider Enumeration Date
02/14/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3635 S Clyde Morris Blvd
City
Port Orange
State
Florida
Zip
32129-2300
Phone Number
386-756-9400
Fax Number
386-756-4338
person
Provider Business Mailing Address Details
Address
3635 S Clyde Morris Blvd
City
Port Orange
State
Florida
Zip
32129-2300
Phone Number
386-756-9400
Fax Number
386-756-4338
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME40228 (Florida)
Definition
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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