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

Dale P Greyslak PA PLLC

Organization Surgical Physician Assistant · NPI 1174945521

Dale P Greyslak PA PLLC provides Surgical Physician Assistant services 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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