Active NPI 1750367827 Individual Practitioner Male Practitioner

Dr. C. Lawrence Slade , MD

Specialist • Port Orange, FL

Professional Overview & Biography Verified Profile Summary

Dr. C. Slade, MD is a registered healthcare professional specializing in Specialist in Port Orange, FL. Practice services are available at 3635 S. CLYDE MORRIS BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3635 S. Clyde Morris Blvd
400

Port Orange, FL 321292349

Telephone 3867569400

Fax 3867564338

Associated Practice Facility / Clinic

🏢 C Lawrence Slade Md Facs Llc Facility NPI 1043520554

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Port Orange, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 37.8 Yrs

Regional Practice Density

9 Specialists

Practicing in Port Orange, FL (3036 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL ME0040228

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Michel Samson , MD

Plastic Surgery

NPI 1033179627

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 02, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location August 02, 2010

Registered at 3635 S. CLYDE MORRIS BLVD, 400, PORT ORANGE, FL 321292349 (Tel: 3867569400)

📍

Updated Business Mailing Address August 02, 2010

Registered at 3635 S. CLYDE MORRIS BLVD., SUITE 400, PORT ORANGE, FL 321292349 (Tel: 3867569400)

👤

Provider Name / Credentials Updated August 02, 2010

Recorded as C. SLADE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2010

Specialist (License #ME0040228 in FL)

🟢

Initial NPI Registration & Enumeration December 20, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750367827

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 20, 2005

Last Update: August 02, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3635 S. Clyde Morris Blvd., Suite 400

Port Orange, FL 321292349

Phone: 3867569400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.