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Search › Florida › 225X00000X

Logan Detweiler

NPI 1417411984 · on the registry since 2019

Practice

Address
3217 S Macdill Ave
Tampa, FL 33629
Phone
(813) 284-7941
Organisation at this address
Early Autism Project, Inc.
Genesis Breast Screening Pa
Discovery Practice Management, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
57

Registry record

Primary taxonomy
225X00000X
225X00000X
Also registered as
106S00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-24

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