DR. C. Lawrence Slade, M.D.
NPI #1750367827 in Port Orange, Florida
Provider Information
- NPI Number
- 1750367827
- Entity Type
- Individual
- Name
- DR. C. Lawrence Slade, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- M.D.
- Enumeration Date
- Dec 20, 2005
- Last Updated
- Aug 2, 2010
Practice Location
- Address
- 3635 S. CLYDE MORRIS BLVD
- Address 2
- 400
- City
- Port Orange
- State
- Florida
- ZIP Code
- 32129-2349
- Phone
- (386) 756-9400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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