Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Constance M Charles-Logan, MD

Individual provider Specialist · NPI 1225073422

Dr. Constance M Charles-Logan, MD is a Specialist in Bradenton, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1414 59th St W
Bradenton, FL 34209-4607
Phone: (941) 761-0663
Fax: (941) 761-3347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME61745 (FL)
Specialist Taxonomy 174400000X · Licence ME61745 (FL)

Record details

NPI number1225073422
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 19, 2006
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

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