Individual provider · Type 1 NPI

Logan Primeaux, MD

Student in an Organized Health Care Education/Training Program · Riverview, FL

NPI number 1104629310 Active

Practice location

6901 Simmons Loop
Riverview, FL 33578-9498

Call (813) 302-8000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104629310

Logan Primeaux, MD's National Provider Identifier is 1104629310, issued on Mar 31, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Riverview, FL. The record was last updated on Mar 31, 2025.