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

Dale P Greyslak PA PLLC

Organization Surgical Physician Assistant · NPI 1174945521

Dale P Greyslak PA PLLC is a Surgical Physician Assistant in Indialantic, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3491 Titanic Cir
Indialantic, FL 32903-1871
Phone: (407) 451-0192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9104508 (FL)

Record details

NPI number1174945521
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dale Greyslak — Managing Member · (407) 451-0192
NPI enumeratedJanuary 19, 2014
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023
Mailing addressPo Box 410185, Melbourne, FL 32941-0185

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