Dr Thomas Lee Logan, MD | |
1901 Sw 172nd Ave, Miramar, FL 33029-5592 | |
(954) 538-5000 | |
Not Available |
Full Name | Dr Thomas Lee Logan |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1901 Sw 172nd Ave, Miramar, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083642524 | NPI | - | NPPES |
50401 | Other | FL | BLUE SHIELD |
270924400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | ME91276 (Florida) | Primary |
Entity Name | Inphynet South Broward Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871521880 PECOS PAC ID: 4587563960 Enrollment ID: O20040108000083 |
Entity Name | Small Hospital Innovations |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184040560 PECOS PAC ID: 0840415444 Enrollment ID: O20140715000513 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas Lee Logan, MD 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 Ph: (800) 424-3672 | Dr Thomas Lee Logan, MD 1901 Sw 172nd Ave, Miramar, FL 33029-5592 Ph: (954) 538-5000 |
Dr. Deanna Soloway-simon, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029 Phone: 954-538-5000 | |
Yen-jwu O Lamm, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3601 Sw 160th Ave, Ste 250, Miramar, FL 33027 Phone: 877-866-7123 | |
Dr. Sharon B Hernandez, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1901 Sw 172nd Ave, Miramar, FL 33029 Phone: 954-538-5000 | |
Dr. Yassir Irizarry-cruz, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 19014 Sw 17 Court, Miramar, FL 33029 Phone: 787-750-0930 | |
Dr. Paul F Mele, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 Sw 160th Ave, Suite #250, Miramar, FL 33027 Phone: 305-866-9951 Fax: 877-284-8933 | |
William Adrian Blackwell, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3601 Sw 160th Ave Ste 250, Miramar, FL 33027 Phone: 877-866-7123 |