JERRYRAY LOGEMANN

TAMPA, FL
NPI1285374371
Former NameJEROLD RAY LOGEMANN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-03-29
Last Update Date2022-03-29
Business Address
JERRYRAY LOGEMANN MD
17 DAVIS BLVD STE 308
TAMPA, FL 33606-3438
Phone number: 813-974-2201
Mailing Address
JERRYRAY LOGEMANN MD
17 DAVIS BLVD STE 308
TAMPA, FL 33606-3438
Phone number: