Individual
DR. THOMAS LEE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 SW 172ND AVE, MIRAMAR, FL 33029-5592
(954) 538-5000
Mailing address
14050 NW 14TH ST STE 190, SUNRISE, FL 33323-2851
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME91276
FL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
ME91276
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270924400
—
FL
01
—
50401
BLUE SHIELD
FL
Enumeration date
06/30/2006
Last updated
11/05/2025
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