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

DR. C. LAWRENCE SLADE, M.D.

Active Sole Proprietor

DR. C. LAWRENCE SLADE, M.D. is a Specialist healthcare provider located in PORT ORANGE, Florida. NPI 1750367827 is currently active in the NPPES registry. Verify at CMS.

Specialist · PORT ORANGE, FL

Registration Details

NPI Number: 1750367827
Provider Type: Individual
Gender: Male
NPI Issued: Dec 20, 2005 (20.612947139923 yrs)
Last Updated: Aug 2, 2010
License: ME0040228 (FL)
Sole Proprietor: Yes

Practice Information

Address: 3635 S. CLYDE MORRIS BLVD

400

PORT ORANGE, FL, 321292349
Browse FL providers · Browse ZIP 32129
Phone: 3867569400
Fax: 3867564338
Primary Specialty: Specialist
174400000X

Other Specialist Providers in PORT ORANGE, FL

Name	Credential	NPI
ANTHONY CARMINE PICCHIELLO	MD	1891776399
DR. JON C JACKSON	M.D.	1093724551
TINA G EVANS	MASSAGE THERAPIST	1649488933
CINDY W VOLA	OT	1598968554
MS. SHEREE GENEVIEVE URICH	LMT	1891978185
RAQUEL MASCORRO	—	1477730570

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.