Individual
DR. C. LAWRENCE SLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3635 S. CLYDE MORRIS BLVD, 400, PORT ORANGE, FL 32129-2349
(386) 756-9400
(386) 756-4338
Mailing address
3635 S. CLYDE MORRIS BLVD., SUITE 400, PORT ORANGE, FL 32129-2349
(386) 756-9400
(386) 756-4338
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0040228
FL
Other
Enumeration date
12/20/2005
Last updated
08/02/2010
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