Organization
ANDREW G LOGAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW LOGAN MD (OWNER)
(954) 724-5100
Entity
Organization
Contact information
Practice address
7401 N UNIVERSITY DR, SUITE 201, TAMARAC, FL 33321-2979
(954) 724-5100
(954) 724-5121
Mailing address
7401 N UNIVERSITY DR, SUITE 201, TAMARAC, FL 33321-2979
(954) 724-5100
(954) 724-5121
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME58685
FL
Other
Enumeration date
02/05/2009
Last updated
11/12/2010
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