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 provides Plastic Surgery Physician services 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 Not confirmed with CMS for 15 years — call before visiting
Phone: (386) 756-9400
Fax: (386) 756-4338
Show map & directions

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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