MR. GARY WALLACE SLATER CSFA NPI 1215276852

NPI Information

NPI: 1215276852
Provider Name: MR. GARY WALLACE SLATER, CSFA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
1820 SHIRLEY CT
DUNEDIN, FL
ZIP 34698
Phone: (727) 204-7315
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MR. Gary Wallace Slater, CSFA is a surgical physician assistant in Dunedin, FL. MR. Gary Wallace Slater, CSFA NPI is 1215276852. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1820 SHIRLEY CT
DUNEDIN, FL
ZIP 34698-403
Phone: (727) 204-7315
Fax: (727) 797-7648

The enumeration date for this NPI number is 2/1/2013 and was last updated on 2/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246ZC0007X	Specialist/Technologist, Other	Surgical Assistant	129713	FLORIDA	No
2	363AS0400X	Physician Assistant	Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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