Logsdon, Gregory

Logsdon, Gregory is an individual health care provider with primary practice located at 601 E Rollins St , Orlando FL 32803-1248. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Logsdon, Gregory can be contacted via phone (407) 200-2355.

Contact Information

Primary practice address
601 E Rollins St Orlando FL 32803-1248
Phone: (407) 200-2355
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X ME61587 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME61587 Florida

Profile Details

NPI number 1922005966
LBN Legal business name Logsdon, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Jan 31st, 2020 - about 5 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 1922005966 NPPES
Florida MEDICAID 370023200
Florida Other 300032799
Florida Other 14887

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