Individual
DR. BRADLEY SCOTT LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22299 STATE ROAD 54 STE 105, LUTZ, FL 33549-6942
(813) 333-1516
Mailing address
22299 STATE ROAD 54 STE 105, LUTZ, FL 33549-6942
(813) 739-9063
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD0000030054
TN
207P00000X
Emergency Medicine Physician
MD48929
AL
207V00000X
Obstetrics & Gynecology Physician
MD0000030054
TN
208D00000X
General Practice Physician
ME140190
FL
Other
Enumeration date
04/14/2007
Last updated
09/19/2025
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