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NPI Code Detail

MEDICARE: MARTHA SHEREE LOGGINS

MEDICARE: MARTHA SHEREE LOGGINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation PhysicianPTA24783FL

General Provider Information

NPI Number : 1205787819
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA SHEREE LOGGINS
Provider Business Mailing Address
First Line : 619 W DIXIE AVE
Second Line :
City : LEESBURG
State : FL
Zip : 34748-2602
Country : US
Telephone Number : 352-805-4404
Fax Number :
Provider Business Practice Location Address
First Line : 619 W DIXIE AVE
Second Line :
City : LEESBURG
State : FL
Zip : 34748-2602
Country : US
Telephone Number : 352-805-4404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ MARTHA SHEREE LOGGINS ” Practice Location

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