Individual
CINDY W LOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2100 FLAGLER AVE, KEY WEST, FL 33040
(305) 293-1549
Mailing address
5800 OVERSEAS HWY STE 38, MARATHON, FL 33050-2744
(936) 718-5006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102429
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N38N
PTAN
TX
05
—
102130600
—
FL
01
—
8L9187
PTAN
TX
01
—
8L9188
PTAN
TX
01
—
8L9190
PTAN
TX
01
—
8N7773
BCBS
TX
Enumeration date
06/14/2006
Last updated
05/17/2019
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