Individual
LOGAN BURSTINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
17 DAVIS BLVD STE 308, TAMPA, FL 33606-3438
(813) 974-2201
Mailing address
17 DAVIS BLVD STE 308, TAMPA, FL 33606-3438
(813) 974-2201
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
OS18835
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
OS18835
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
06/17/2026
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