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Organization

ESTE LOGIC, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ESTELA LONG PSY.D. (CLINICAL PSYCHOLOGIST)
(813) 728-3521
Entity
Organization

Contact information

Practice address
4020 SUN CITY CENTER BLVD, SUITE 11, SUN CITY CENTER, FL 33573-5285
(813) 634-4700
(813) 634-4703
Mailing address
4020 SUN CITY CENTER BLVD, SUITE 11, SUN CITY CENTER, FL 33573-5285
(813) 634-4700
(813) 634-4703

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6533
FL

Other

Enumeration date
07/15/2008
Last updated
08/23/2012
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