Organization
LEONARD SLAZINSKI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD SLAZINSKI M.D. (PRESIDENT)
(941) 365-5582
Entity
Organization
Contact information
Practice address
2426 S TAMIAMI TRL, SUITE 204, SARASOTA, FL 34239-3841
(941) 365-5582
(941) 365-5581
Mailing address
2426 S TAMIAMI TRL, SUITE 204, SARASOTA, FL 34239-3841
(941) 365-5582
(941) 365-5581
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
ME0030860
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74755
BLUECROSSBLUESHIELD FL
FL
Enumeration date
11/15/2007
Last updated
07/13/2010
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