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

Dale Phillip Greyslak, PAC

Individual provider Physician Assistant · NPI 1669648754

Dale Phillip Greyslak, PAC is a Physician Assistant in Indialantic, Florida. Qualified in 2007, 19 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
19
Licensed in
FL
In the registry since
2008
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

3491 Titanic Cir
Indialantic, FL 32903-1871
Phone: (407) 451-0192
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2194 Highway A1a Ste 106, Indian Harbour Beach, FL 32937-4955 — (321) 794-5095

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9104508 (FL)

Record details

NPI number1669648754
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorYes
NPI enumeratedMay 8, 2008
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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