Individual
LOGAN COREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1005 PINELLAS ST, CLEARWATER, FL 33756-3432
(727) 446-2111
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 315-6974
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301502677
MI
207VX0201X
Gynecologic Oncology Physician
Primary
ME162878
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119449900
—
FL
Enumeration date
03/28/2016
Last updated
06/25/2024
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