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Contact Information

MICHAEL P. LOGUE, D.M.D., P.A.
1800 N FEDERAL HWY
SUITE 201
POMPANO BEACH, FL33062-1034
 Phone: 954-941-2727
 Fax: 954-941-1116
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

NPI Profile & details for MICHAEL P. LOGUE, D.M.D., P.A.

NPI # 1427365204
LBN Legal business name MICHAEL P. LOGUE, D.M.D., P.A.
Authorized official MICHAEL LOGUE - (PRESIDENT/ORAL SURGEON)
Entity Organization
Organization subpart 1 No
Enumeration date 09/01/2010
Last updated 09/01/2010 - About 16 years ago
Identifiers
FL License # DN12346
FL Medicaid 071462300
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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