OrganizationActive
C. Lawrence Slade, M.D., F.a.c.s., LLC
NPI 1578836003 · Specialist · Port Orange, FL
C. Lawrence Slade, M.D., F.a.c.s., LLC is a Specialist organization in Port Orange, FL (NPI 1578836003).
Provider details
- NPI number
- 1578836003
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Clement Slade, President(386) 756-9400
- License
- ME40228 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3635 S Clyde Morris Blvd
Suite 400
Port Orange, FL 32129-2300
Phone: (386) 756-9400
Fax: (386) 756-4338
Street-level locationGet directions
Mailing address
3635 S Clyde Morris Blvd
Port Orange, FL 32129-2300
Other names (DBA / former)
- Other name
- Clement L. Slade, MD
Registry dates
- Enumerated
- 2012-02-14
- Last updated
- 2012-03-22
Frequently asked questions
- What is C. Lawrence Slade, M.D., F.a.c.s., LLC's NPI number?
- C. Lawrence Slade, M.D., F.a.c.s., LLC's National Provider Identifier (NPI) is 1578836003, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is C. Lawrence Slade, M.D., F.a.c.s., LLC?
- C. Lawrence Slade, M.D., F.a.c.s., LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is C. Lawrence Slade, M.D., F.a.c.s., LLC located?
- C. Lawrence Slade, M.D., F.a.c.s., LLC's practice location on file with NPPES is 3635 S Clyde Morris Blvd, Port Orange, FL 32129-2300.
- What is C. Lawrence Slade, M.D., F.a.c.s., LLC's phone number?
- The practice phone number listed in the NPPES registry for C. Lawrence Slade, M.D., F.a.c.s., LLC is (386) 756-9400.
- Who is the authorized official for C. Lawrence Slade, M.D., F.a.c.s., LLC?
- The authorized official listed on C. Lawrence Slade, M.D., F.a.c.s., LLC's NPPES record is Clement Slade, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is C. Lawrence Slade, M.D., F.a.c.s., LLC's NPI active?
- Yes — C. Lawrence Slade, M.D., F.a.c.s., LLC's NPI (1578836003) is active in the NPPES registry as of the last update on 2012-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.