Slade, C. Lawrence
Slade, C. Lawrence is an sole proprietor health care provider with primary practice located at 3635 S. Clyde Morris Blvd 400, Port Orange FL 32129-2349. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Slade, C. Lawrence can be contacted via phone (386) 756-9400.Contact Information
Primary practice address
3635 S. Clyde Morris Blvd 400
Port Orange FL 32129-2349
Phone: (386) 756-9400
Fax: (386) 756-4338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME0040228 | Florida |
Profile Details
| NPI number | 1750367827 |
|---|---|
| LBN Legal business name | Slade, C. Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Aug 2nd, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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