Individual
ANIRUDDHA DAS LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1014 NW 57TH ST, GAINESVILLE, FL 32605-4486
(352) 331-3583
Mailing address
1014 NW 57TH ST, GAINESVILLE, FL 32605-4486
(352) 331-3583
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS14809
FL
Other
Enumeration date
06/19/2012
Last updated
07/21/2022
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