# GREGORY LOGAN DC, PA

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

## Provider details

- **NPI number:** 1538224555
- **Authorized official:** DR. TAMARA HARRIS LOGAN DC (VICE PRESIDENT)
- **Authorized official phone:** (941) 927-1125

## Contact information

- **Practice address:** 3400 BEE RIDGE ROAD, SUITE 100, SARASOTA, FL 34239
- **Practice address phone:** (941) 927-1123
- **Practice address fax:** (941) 927-1124
- **Mailing address:** 3400 BEE RIDGE ROAD, SUITE 100, SARASOTA, FL 34239
- **Mailing address phone:** (941) 927-1123
- **Mailing address fax:** (941) 927-1124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CHB424 | FL | Yes |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 06/26/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 38183490 | — | FL |