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CLEMENT L. SLADE, MD
NPI 1578836003
Specialist in Port Orange, FL

Active since February 14, 2012
3635 S CLYDE MORRIS BLVD, SUITE 400, PORT ORANGE, FL 32129(386) 756-9400(386) 756-4338 Get Directions Write a Review

NPPES record last updated: March 22, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clement L. Slade, Md NPPES

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

CLEMENT L. SLADE, MD (NPI 1578836003) is a healthcare organization registered as a specialist in Port Orange, Florida and active in the NPI registry since February 2012. The organization lists Clement L Slade, President, as its authorized official.

NPPES Registry Identity

NPI1578836003
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameC. LAWRENCE SLADE, M.D., F.A.C.S., LLC
Location Address3635 S CLYDE MORRIS BLVD, SUITE 400Port Orange, FL 32129-2300
Mailing Address3635 S Clyde Morris Blvd, Suite 400Port Orange, FL 32129-2300 · (386) 756-9400 · Fax (386) 756-4338
Phone(386) 756-9400
Fax(386) 756-4338
Organization SubpartNo
Authorized OfficialClement L SladePresident · (386) 756-9400
Enumeration DateFebruary 14, 2012
Last NPPES UpdateMarch 22, 2012
✔ NPI 1578836003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME40228
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3635 S CLYDE MORRIS BLVD, Port Orange, FL 32129
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Other Names 1

Other NameClement L. Slade, Md

Other Identifiers 1

Medicare UPIND65450FL

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 20

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

TAMARA R CLANCY MD
Orthopaedic Surgery (Hand Surgery)
3635 S CLYDE MORRIS BLVD, SUITE 900
PORT ORANGE, FL 32129
Volusia County (386) 788-4263
VOLUSIA HAND SURGERY CLINIC PA
Orthopaedic Surgery (Hand Surgery)
3635 S CLYDE MORRIS BLVD, SUITE 900
PORT ORANGE, FL 32129
Volusia County (386) 788-4263
DR. GREGORY J. STELLA M.D.
Internal Medicine (Gastroenterology)
3635 S CLYDE MORRIS BLVD, STE 100
PORT ORANGE, FL 32129
Volusia County (386) 788-1242
MICHEL C SAMSON M.D.
Plastic Surgery
3635 S CLYDE MORRIS BLVD, STE. 400
PORT ORANGE, FL 32129
Volusia County (386) 756-9400
C LAWRENCE SLADE MD FACS LLC
Plastic Surgery
3635 S CLYDE MORRIS BLVD, SUITE 400
PORT ORANGE, FL 32129
Volusia County (386) 756-9400
AMSURG PORT ORANGE ANESTHESIA, LLC
Anesthesiology
3635 S CLYDE MORRIS BLVD, SUITE 500
PORT ORANGE, FL 32129
Volusia County (386) 760-8151
C B WILLIAMSON
Orthopaedic Surgery
3635 S CLYDE MORRIS BLVD, STE 600
PORT ORANGE, FL 32129
Volusia County (386) 760-2888
DR. KETUL RAMAN PATEL M.D.
Internal Medicine (Gastroenterology)
3635 S CLYDE MORRIS BLVD, STE 100
PORT ORANGE, FL 32129
Volusia County (386) 788-1242

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 C. Lawrence Slade, M.D., F.A.C.S., LLC's NPI number?

The NPI number for C. Lawrence Slade, M.D., F.A.C.S., LLC is 1578836003. It was assigned to this organization in the NPPES registry on February 14, 2012. The provider is also known as Clement L. Slade, MD.

Where is C. Lawrence Slade, M.D., F.A.C.S., LLC located?

C. Lawrence Slade, M.D., F.A.C.S., LLC is located at 3635 S Clyde Morris Blvd Suite 400, Port Orange, FL 32129. The listed phone number is (386) 756-9400.

What is C. Lawrence Slade, M.D., F.A.C.S., LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for C. Lawrence Slade, M.D., F.A.C.S., LLC was last updated on March 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.