Provider Demographics
NPI:1194825620
Name:SLESZYNSKI, RAYMOND AMBROSE JR (DO)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:AMBROSE
Last Name:SLESZYNSKI
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:690 PONCE DE LEON DR
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33715-2019
Mailing Address - Country:US
Mailing Address - Phone:813-873-6445
Mailing Address - Fax:813-873-6470
Practice Address - Street 1:2901 W SWANN AVE
Practice Address - Street 2:MEMORIAL HOSPITAL ER
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-4056
Practice Address - Country:US
Practice Address - Phone:813-873-6445
Practice Address - Fax:813-873-6470
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS-5506207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services