DALE PHILLIP GREYSLAK

INDIALANTIC, FL
NPI1669648754
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9104508)
Enumeration Date2008-05-08
Last Update Date2023-02-14
Business Address
DALE PHILLIP GREYSLAK PAC
3491 TITANIC CIR
INDIALANTIC, FL 32903-1871
Phone number: 407-451-0192
Mailing Address
DALE PHILLIP GREYSLAK PAC
PO BOX 410185
MELBOURNE, FL 32941-0185
Phone number: 407-451-0192