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Individual

LOGAN ADAM FORGEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4202 E FOWLER AVE, TAMPA, FL 33620-8000
(813) 974-2011
Mailing address
70 DAVIS BLVD APT 2, TAMPA, FL 33606-3418
(352) 727-9087

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001342729
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024191620
VA
367500000X
Certified Registered Nurse Anesthetist
RN9424548
FL

Other

Enumeration date
02/08/2022
Last updated
04/07/2026
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