SLEZAK COLORECTAL SURGICAL CLINIC
Medical Practice at Habana Ave, Tampa, FL

License number
Florida ME93310
Category
Medical Practice
Type
Specialist
Owner
Name: DR. LORI SLEZAK M.D.
Title: OWNER
Phone: (813) 873-2650
Address
Address
4814 N Habana Ave, Tampa, FL 33614
National Provider ID: 1346406246
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Slezak Colorectal Surgical Clinic

4814 N Habana Ave, Tampa, FL 33614

Industry:
Gastroenterology, Colon Care, Surgeons
Phone:
(813) 873-2650 (Phone)
Lori A. Slezak
Open Hours:
Mon-Fri 8:30 AM-5:00 PM

SLEZAK HOLDINGS, LLC

3010 W Chapin Ave, Tampa, FL 33611

Industry:
Health/Allied Services
Doing business as:
Slezak Colorectal Surgical Clinic Pl
Registration:
Jul 17, 2008
State ID:
L08000069104
Business type:
Florida Limited Liability Company
Principal, Managing Member:
Lori A Slezak (Principal, Managing Member), 3010 W Chapin Ave, Tampa, FL 33611 (Physical)
Agent:
Walker, Gary,202 S Rome Ave SUITE 100, Tampa, FL 33606 (Physical)
EIN:
26-3002561

Slezak Colorectal Surgical Clinic, Pl

4814 N Habana Ave, Tampa, FL 33614

Registration:
Jun 19, 2008
State ID:
L08000060499
Business type:
Florida Limited Liability
Managing Member:
Lori A. Slezak (Managing Member)
Agent:
Gary Walker

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