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LOGAN LAUDERDALE
Physician Assistant
NPI: 1427730126Individual
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PA9118127(FL)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2023
Contact & Hours
Via practice · 12 locations total
- Address
- 4565 US HIGHWAY 17 STE 17
FLEMING ISLAND, FL 32003 - Phone
- (904) 634-0640
Locations (12)
Practice Location
4565 US HIGHWAY 17 STE 17, FLEMING ISLAND, FL
(904) 634-0640
Practice Location
15255 MAX LEGGET PKWY STE 5300, JACKSONVILLE, FL
(904) 634-0640
Practice Location
6675 CORPORATE CENTER PKWY STE 115, JACKSONVILLE, FL
(904) 245-8910
Practice Location
10475 CENTURION PKWY N STE 220, JACKSONVILLE, FL
(904) 634-0640
Practice Location
4268 OLDFIELD CROSSING DR STE 201, JACKSONVILLE, FL
(904) 634-0640
Practice Location
2 SHIRCLIFF WAY STE 605, JACKSONVILLE, FL
(904) 634-0640
Practice Location
2627 RIVERSIDE AVE STE 300, JACKSONVILLE, FL
(904) 634-0640
Practice Location
2300 PARK AVE STE 206, ORANGE PARK, FL
(904) 634-0640
Practice Location
232 PONTE VEDRA PARK DR, PONTE VEDRA BEACH, FL
(904) 634-0640
Practice Location
1690 US HIGHWAY 1 S STE F, ST AUGUSTINE, FL
(904) 634-0640
Practice Location
216 SOUTHPARK CIR E STE 216, ST AUGUSTINE, FL
(904) 634-0640
Practice Location
3055 County Road 210 W Ste 210, St Johns, FL
(904) 634-0640
Quick Facts
- NPI
- 1427730126
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 12
- Years in Practice
- 3
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