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C LAWRENCE SLADE MD FACS LLC NPI 1043520554


NPI Information

NPI: 1043520554
Provider Name: C LAWRENCE SLADE MD FACS LLC
Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
3635 S CLYDE MORRIS BLVD
SUITE 400
PORT ORANGE, FL
ZIP 32129
Phone: (386) 756-9400
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C LAWRENCE SLADE MD FACS LLC is a plastic surgery in Port Orange, FL. The provider is 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. C LAWRENCE SLADE MD FACS LLC NPI is 1043520554. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3635 S CLYDE MORRIS BLVD
SUITE 400
PORT ORANGE, FL
ZIP 32129-300
Phone: (386) 756-9400
Fax: (386) 756-4338

The provider's authorized official is Susan Mcbride Murphy .
The authorized official title is Office Manager and has the following contact phone number (386) 756-9400.

The enumeration date for this NPI number is 10/18/2010 and was last updated on 10/18/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic SurgeryME40228FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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