Individual
MS. ASHA TENDAYI LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1111 7TH AVE N STE 107, ST PETERSBURG, FL 33705-1348
(727) 894-6703
(727) 894-1430
Mailing address
14690 SPRING HILL DR STE 305, SPRING HILL, FL 34609-8102
(352) 277-5348
(352) 606-2857
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
270337
NY
207R00000X
Internal Medicine Physician
Primary
ME148665
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME148665
ME LICENSE
FL
Enumeration date
04/29/2009
Last updated
03/05/2022
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