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

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: July 19, 2026.

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

What is DALE P GREYSLAK PA PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1174945521, enumerated as an "organization" on January 19, 2014.

Where is the provider located?

The provider is located at 3491 TITANIC CIR INDIALANTIC, FL 32903 and the phone number is (407) 451-0192.

What is the provider's specialty?

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.