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LOGAN, DANIEL PHILIP
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This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
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| Practice Address: |
4001 SW 13TH ST
GAINESVILLE FL 32608
Address last updated on 5/1/2017 |
| Phone #: |
(352) 265-5512 |
| Fax #: |
(352) 265-5504 |
| County: |
NOT OKLAHOMA |
| License: |
14217 |
| Dated: |
6/1/1983 |
| Expires: |
6/1/2017 |
| License Type: |
Medical Doctor |
| Specialty: |
Addiction Medicine
Emergency Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Baylor Coll Of Med, Houston Tx 77030 |
| Graduated: |
6 /
1978 |
| CME Year: |
2019 |
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Pending and/or Past Disciplinary Actions:
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| Date |
Action |
Reasons |
Remarks |
| 4/24/2007 |
Probation Ended |
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| 1/27/2005 |
Probation |
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Board Filings and/or Orders:
01/27/2005
12/03/2004
12/03/2004
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF EMERGENCY MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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