DR. C. LAWRENCE SLADE M.D.
NPI 1750367827
Specialist in Port Orange, FL

Q: What is C. Slade's NPI number?

The NPI number for C. Slade is 1750367827. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Q: What is C. Slade's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for C. Slade was last updated on August 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since December 20, 2005

3635 S. CLYDE MORRIS BLVD, 400, PORT ORANGE, FL 32129(386) 756-9400(386) 756-4338 Get Directions Write a Review

NPPES record last updated: August 2, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. C. Lawrence Slade M.d. NPPES

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

DR. C. LAWRENCE SLADE M.D. (NPI 1750367827) is an individual specialist in Port Orange, Florida, licensed in Florida (ME0040228) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1750367827

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. C. LAWRENCE SLADECredential: M.D.

Location Address3635 S. CLYDE MORRIS BLVD, 400Port Orange, FL 32129-2349

Mailing Address3635 S. Clyde Morris Blvd., Suite 400Port Orange, FL 32129-2349 · (386) 756-9400 · Fax (386) 756-4338

Phone(386) 756-9400

Fax(386) 756-4338

Sole ProprietorYes

Enumeration DateDecember 20, 2005

Last NPPES UpdateAugust 2, 2010

✔ NPI 1750367827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME0040228

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

Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified64490FL

Medicare UPIND64550FL

Other Providers at the Same Location NPPES

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

LOUIS MICHAEL AGNONE MD

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. Slade's NPI number?

The NPI number for C. Slade is 1750367827. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is C. Slade located?

C. Slade practices at 3635 S. Clyde Morris Blvd 400, Port Orange, FL 32129. The listed phone number is (386) 756-9400.

What is C. Slade'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. Slade was last updated on August 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.