Provider Demographics
NPI:1508175514
Name:LOGAS, DAWN (DVM)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:LOGAS
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9901 N ORLANDO AVE
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-3378
Mailing Address - Country:US
Mailing Address - Phone:407-629-0044
Mailing Address - Fax:407-629-0602
Practice Address - Street 1:9901 N ORLANDO AVE
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-3378
Practice Address - Country:US
Practice Address - Phone:407-629-0044
Practice Address - Fax:407-629-0602
Is Sole Proprietor?:No
Enumeration Date:2010-09-26
Last Update Date:2010-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4184174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian