MR. MARK P LOGUE CPO NPI 1669685301

NPI Information

NPI: 1669685301
Provider Name: MR. MARK P LOGUE, CPO
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
516 LAKEVIEW RD
VILLA 1
CLEARWATER, FL
ZIP 33756
Phone: (727) 449-9292
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MR. Mark P Logue, CPO is a specialist in Clearwater, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Mark P Logue, CPO NPI is 1669685301. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

516 LAKEVIEW RD
VILLA 1
CLEARWATER, FL
ZIP 33756-302
Phone: (727) 449-9292
Fax: (727) 449-9393

The enumeration date for this NPI number is 5/8/2007 and was last updated on 1/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		POR161	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00178	OTHER	FLORIDA	QUALITY HEALTH CARE
2	00124	OTHER	FLORIDA	UNIVERSAL HEALTHCARE
3	5045990001	MEDICARE NSC	FLORIDA
4	M0692	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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