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Mindy Logan

NPI 1851194443 · on the registry since 2025 · sole proprietor

Practice

Address
1716 W Lemon St
Tampa, FL 33606
Phone
(303) 859-5196

Additional practice sites

  • 1716 W Lemon St, Tampa, FL
  • 1716 W Lemon St, Tampa, FL

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida