DALE P GREYSLAK PA PLLC
NPI 1174945521
Physician Assistant - Surgical in Indialantic, FL

Q: What is Dale P Greyslak PA PLLC's NPI number?

The NPI number for Dale P Greyslak PA PLLC is 1174945521. It was assigned to this organization in the NPPES registry on January 19, 2014.

Q: What is Dale P Greyslak PA PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since January 19, 2014

3491 TITANIC CIR, INDIALANTIC, FL 32903(407) 451-0192 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dale P Greyslak Pa Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALE P GREYSLAK PA PLLC (NPI 1174945521) is a healthcare organization registered as a surgical in Indialantic, Florida and active in the NPI registry since January 2014. The organization lists Dale Phillip Greyslak, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1174945521

Entity TypeOrganization

Primary Taxonomy363AS0400X

Legal Business NameDALE P GREYSLAK PA PLLC

Location Address3491 TITANIC CIRIndialantic, FL 32903-1871

Mailing AddressPo Box 410185Melbourne, FL 32941-0185 · (407) 451-0192

Phone(407) 451-0192

Organization SubpartNo

Authorized OfficialDale Phillip GreyslakManaging Member · (407) 451-0192

Enumeration DateJanuary 19, 2014

Last NPPES UpdateDecember 13, 2023

NPPES CertifiedDecember 13, 2023

✔ NPI 1174945521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in FL · PA9104508

3491 TITANIC CIR, Indialantic, FL 32903

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DALE PHILLIP GREYSLAK PAC

Physician Assistant

3491 TITANIC CIR
INDIALANTIC, FL 32903

Brevard County (407) 451-0192

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dale P Greyslak PA PLLC's NPI number?

The NPI number for Dale P Greyslak PA PLLC is 1174945521. It was assigned to this organization in the NPPES registry on January 19, 2014.

Where is Dale P Greyslak PA PLLC located?

Dale P Greyslak PA PLLC is located at 3491 Titanic Cir, Indialantic, FL 32903. The listed phone number is (407) 451-0192.

What is Dale P Greyslak PA PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Dale P Greyslak PA PLLC was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.