Male or Other

Gregory Logsdon M.D.

Diagnostic Radiology Physician in Orlando, FL(View on Map)

Full Name

Gregory Logsdon M.D.

NPI Number

1922005966

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/06/2005

Specialties

(Taxonomies)

Code

2085R0202X
2085P0229X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

ME61587

Contact
Information

Purpose

Mailing
Location

Address

601 E ROLLINS ST
601 E ROLLINS ST

City

Orlando
Orlando

State

FL
FL

Postal Code

32803-1248
32803-1248

Country

US
US

Telephone Number

(407) 200-2355
(407) 200-2355

Identifiers

Identifier

370023200
300032799
14887

Identifier State

FL
FL
FL

Identifier Issuer

Unknown
RR MEDICARE
BCBS OF FLORIDA

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/31/2020

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