# ANDREW G LOGAN MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013156538
- **Authorized official:** ANDREW LOGAN MD (OWNER)
- **Authorized official phone:** (954) 724-5100

## Contact information

- **Practice address:** 7401 N UNIVERSITY DR, SUITE 201, TAMARAC, FL 33321-2979
- **Practice address phone:** (954) 724-5100
- **Practice address fax:** (954) 724-5121
- **Mailing address:** 7401 N UNIVERSITY DR, SUITE 201, TAMARAC, FL 33321-2979
- **Mailing address phone:** (954) 724-5100
- **Mailing address fax:** (954) 724-5121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME58685 | FL | Yes |

## Other

- **Enumeration date:** 02/05/2009
- **Last updated:** 11/12/2010