Individual
DR. ALICIA JOSEPHINE LOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 W UNDERWOOD ST, SUITE A, ORLANDO, FL 32806-1139
(407) 422-3790
(407) 841-5058
Mailing address
86 W UNDERWOOD ST, SUITE 201, ORLANDO, FL 32806-1110
(321) 841-5142
(407) 648-6986
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
N0223
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
ME112828
FL
Other
Enumeration date
05/30/2007
Last updated
03/29/2013
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