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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GARY WALLACE SLATER III, CSFA

Active Sole Proprietor

MR. GARY WALLACE SLATER III, CSFA is a Surgical Physician Assistant healthcare provider located in DUNEDIN, Florida. NPI 1215276852 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · DUNEDIN, FL

Registration Details

NPI Number
1215276852
Provider Type
Individual
Gender
Male
NPI Issued
Feb 1, 2013 (13.503305640941 yrs)
Last Updated
May 21, 2024
License
129713 (FL)
Sole Proprietor
Yes

Practice Information

Address
PO BOX 1142
DUNEDIN, FL, 346971142
Browse FL providers · Browse ZIP 34697
Phone
7272047315
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in DUNEDIN, FL

Name Credential NPI
TAYLA MAE KAVANAUGH PA-C 1013292424
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.