C. Lawrence Slade in Port Orange - Specialist
C. Lawrence Slade - NPI 1750367827
C. Lawrence Slade is a Specialist in Port Orange, Florida. C. Lawrence Slade practices all healthcare services and medical treatments related to Specialist. The NPI Number for C. Lawrence Slade is 1750367827. The last update date is 2010-08-02.
C. Lawrence Slade's current location address is 3635 S. Clyde Morris Blvd., Port Orange, Florida. You can contact this provider via phone number 3867569400 and fax number 3867564338. The mailing address for C. Lawrence Slade is 3635 S. Clyde Morris Blvd., Port Orange, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | C. Lawrence Slade |
|---|---|
| Address | 3635 S. Clyde Morris Blvd., Port Orange, Florida |
| Phone Number | 3867569400 |
| Fax Number | 3867564338 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1750367827 |
|---|---|
| Provider Enumeration Date | 2005-12-20 |
| Last Updated Date | 2010-08-02 |
Provider Mailing Address Detail
| Address | 3635 S. Clyde Morris Blvd. |
|---|---|
| City | Port Orange |
| State | Florida (FL) |
| Post Code | 321292349 |
| Phone Number | 3867569400 |
| Fax Number | 3867564338 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME0040228 |
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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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Post Comment/ Review Below
What is the unique identification code assigned to C. Lawrence Slade by the Centers for Medicare & Medicaid Services?
The C. Lawrence Slade has been issued the NPI (National Provider Identifier) 1750367827. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where C. Lawrence Slade is physically located?
The C. Lawrence Slade is physically situated at the following address: 3635 S. Clyde Morris Blvd., Port Orange, FL, 321292349.
What is the C. Lawrence Slade's area of specialization and corresponding taxonomy classification?
The C. Lawrence Slade's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1750367827 to C. Lawrence Slade?
The Centers for Medicare & Medicaid Services originally issued the 1750367827 to C. Lawrence Slade on 2005-12-20.
As of what date were the details pertaining to C. Lawrence Slade last refreshed?
The information related to the C. Lawrence Slade, including its address, specialty, and other relevant details, was last updated on 2010-08-02.