Individual
MR. GARY WALLACE SLATER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
PO BOX 1142, DUNEDIN, FL 34697-1142
(727) 204-7315
Mailing address
PO BOX 1142, DUNEDIN, FL 34697-1142
(727) 204-7315
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
129713
FL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/01/2013
Last updated
05/21/2024
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