Logan, Thomas Lee

Logan, Thomas Lee is an individual health care provider with primary practice located at 1901 Sw 172Nd Ave , Miramar FL 33029-5592. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Logan, Thomas Lee can be contacted via phone (954) 538-5000.

Contact Information

Primary practice address
1901 Sw 172Nd Ave Miramar FL 33029-5592
Phone: (954) 538-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME91276 Florida

Profile Details

NPI number 1083642524
LBN Legal business name Logan, Thomas Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Apr 9th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083642524 NPPES
Florida Other 50401 BLUE SHIELD
Florida MEDICAID 270924400 BLUE SHIELD

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