Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

C Lawrence Slade MD FACS LLC

Organization Plastic Surgery Physician · NPI 1043520554

C Lawrence Slade MD FACS LLC is a Plastic Surgery Physician in Port Orange, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3635 S Clyde Morris Blvd Ste 400
Port Orange, FL 32129-2300
Phone: (386) 756-9400
Fax: (386) 756-4338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence ME40228 (FL)

Record details

NPI number1043520554
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Murphy — Office Manager · (386) 756-9400
NPI enumeratedOctober 18, 2010
Last updated in NPPESOctober 18, 2010
Mailing address3635 S Clyde Morris Blvd, Suite 400, Port Orange, FL 32129-2300

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