Organization
C. LAWRENCE SLADE, M.D., F.A.C.S., LLC
Active
Other names
Clement L. Slade, MD
Organization subpart
No
Provider details
NPI number
Authorized official
CLEMENT L SLADE M.D. (PRESIDENT)
(386) 756-9400
Entity
Organization
Contact information
Practice address
3635 S CLYDE MORRIS BLVD, SUITE 400, PORT ORANGE, FL 32129-2300
(386) 756-9400
(386) 756-4338
Mailing address
3635 S CLYDE MORRIS BLVD, SUITE 400, PORT ORANGE, FL 32129-2300
(386) 756-9400
(386) 756-4338
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME40228
FL
Other
Enumeration date
02/14/2012
Last updated
03/22/2012
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