C LAWRENCE SLADE MD FACS LLC


Address: 3635 S Clyde Morris Blvd, Suite 400, Port Orange, FL 32129-2300
Phone: 3867569400

C LAWRENCE SLADE MD FACS LLC (NPI# 1043520554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043520554
Entity Type Organization
Organization Name C LAWRENCE SLADE MD FACS LLC
Practice Address 3635 S Clyde Morris Blvd
Suite 400
Port Orange
FL 32129-2300
Practice Telephone 3867569400
Practice Fax Number 3867564338
Mailing Telephone 3867569400
Mailing Fax Number 3867564338
Enumeration Date 2010-10-18
Last Update Date 2010-10-18
Authorized Official Name MS. SUSAN MCBRIDE MURPHY (OFFICE MANAGER)
Authorized Official Telephone 3867569400
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery ME40228 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 3635 S CLYDE MORRIS BLVD
SUITE 400
City PORT ORANGE
State FL
Zip Code 32129-2300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033116975 Gregory J. Stella Internal Medicine 3635 S Clyde Morris Blvd, Ste 100, Port Orange, FL 32129-2300 2005-07-07
1043690902 C B Williamson Orthopaedic Surgery 3635 S Clyde Morris Blvd, Ste 600, Port Orange, FL 32129-2300 2015-06-05
1487050365 Michel C. Samson, M.d., F.a.c.s., Pllc Plastic Surgery 3635 S Clyde Morris Blvd, Suite 400, Port Orange, FL 32129-2300 2014-11-05
1043654270 Amsurg Port Orange Anesthesia, LLC Anesthesiology 3635 S Clyde Morris Blvd, Suite 500, Port Orange, FL 32129-2300 2013-04-18
1871849133 Dorothy Whatley Porter Physician Assistant 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2300 2012-07-24
1578836003 C. Lawrence Slade, M.d., F.a.c.s., LLC Specialist 3635 S Clyde Morris Blvd, Suite 400, Port Orange, FL 32129-2300 2012-02-14
1841596327 Srikanth Eathiraju Orthopaedic Surgery 3635 S Clyde Morris Blvd, Suite 900, Port Orange, FL 32129-2300 2011-02-01
1265693568 Sarah E Henry Orthopaedic Surgery 3635 S Clyde Morris Blvd, Suite 900, Port Orange, FL 32129-2300 2008-06-19
1356519417 Joanna Elizabeth Stoverink Physician Assistant 3635 S Clyde Morris Blvd, Ste 100, Port Orange, FL 32129-2300 2008-02-12
1740494210 Daytona Beach Hand Clinic Inc Durable Medical Equipment & Medical Supplies 3635 S Clyde Morris Blvd, Suite 300, Port Orange, FL 32129-2300 2007-05-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982179818 Port Orange Modern Dentistry, Pa Dentist 1765 Dunlawton Ave., Suite 103, Port Orange, FL 32129 2018-10-08
1932698131 Brittany Michele Claude Behavioral Analyst 4647 Clyde Morris Blvd Suite 501, Port Orange, FL 32129 2018-05-03
1760919468 Makayla Earl Behavior Technician 1557 Town Park Dr., Port Orange, FL 32129 2017-05-12
1184157968 Katie Lynn Weisz Physician Assistant 3635 South Clyde Morris Blvd, Suite 100, Port Orage, FL 32129 2017-04-07
1285178319 Mallory Driggers Counselor 980 Canal View Blvd Apt F7, Port Orange, FL 32129 2016-12-08
1912321654 Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph Dentist 944 Bridgewater Dr., Suite 2-b, Port Orange, FL 32129 2014-02-18
1538411731 Roberta Ann Gilmartin Specialist 1048 W Samms Ave, Port Orange, FL 32129 2012-10-11
1679892996 Pamela Kirby Pa Clinic/Center 4606 South Clyde Morris Boulevard, Suite 1j, Port Orange, FL 32129 2010-05-26
1326376385 Connie Jeanne Bodnarik Physical Therapy Assistant 3780 S Clyde Morris Blvd Apt 1206, Port Orange, FL 32129 2009-12-02
1669645057 American Family & Sports Chiropractic Center Inc Chiropractor 4649 Clyde Morris Blvd Unit 609, Port Orange, FL 32129 2008-04-08
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Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831292200 Vijay J Moradia Plastic Surgery 4606 Clyde Morris, #1l, Port Orange, FL 32129 2006-09-07
1487050365 Michel C. Samson, M.d., F.a.c.s., Pllc Plastic Surgery 3635 S Clyde Morris Blvd, Suite 400, Port Orange, FL 32129-2300 2014-11-05
1033179627 Michel C Samson Plastic Surgery 3635 S Clyde Morris Blvd, Ste. 400, Port Orange, FL 32129-2300 2006-03-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275166720 Ph1 Miami Plastic Surgery 8585 Sw 72nd St Ste 107, Miami, FL 33143-3746 2020-02-12
1720619927 Jhs Surgical Pavillion LLC Plastic Surgery 3319 S State Road 7 Ste 107, Wellington, FL 33449-8099 2020-01-28
1861048498 Alexandra Conde Green Md Pa Plastic Surgery 4788 N Citation Dr Apt 105, Delray Beach, FL 33445-6532 2019-08-09
1962062885 Zunilda Rodriguez Martinez Plastic Surgery 7360 Sw 24th St, Miami, FL 33155-1498 2019-06-13
1962960146 Elite Surgery Center, LLC Plastic Surgery 5301 4th Ave Circle E, Bradenton, FL 34208 2019-03-07
1508335985 Plastic Surgery Associates of Miami Plastic Surgery 6541 Sw 76th Ter, South Miami, FL 33143-4656 2018-11-15
1023592177 Lake Mary Plastic and Cosmetic Surgery Pa Plastic Surgery 934 Williston Park Pt Ste 1028, Lake Mary, FL 32746-2165 2018-09-24
1790271096 Rsm Plastic Surgery, Pa Plastic Surgery 3300 W Lake Mary Blvd Ste 210, Lake Mary, FL 32746-3499 2018-07-10
1609306877 South Beach Plastic Surgery, P.a. Plastic Surgery 1820 James Ave Apt 6d, Miami Beach, FL 33139-7462 2017-06-19
1295278943 Florida Dermatology Plastic Surgery LLC Plastic Surgery 6559 N Wickham Rd, Suite 105, Melbourne, FL 32940-2039 2016-11-29
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Competitor

Search similar providers

City PORT ORANGE
Zip Code 32129

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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