Dale P Greyslak PA PLLC
NPI 1174945521ActiveOrganization· Physician Assistant, Surgical· Indialantic, FL
Physician Assistant, Surgical in Indialantic, Florida, registered in NPPES in January 2014. The authorized official on file is Dale Phillip Greyslak, PAC, Managing Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174945521 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 19, 2014 |
| Last updated in NPPES | Dec 13, 2023 |
| Certified by provider | Dec 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA9104508 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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