| Alonzo J Logan Md Pa | |
|
102 Park Pl Ste D-1 Kissimmee FL 34741 | |
| (407) 846-3535 | |
| Not Available |
| Full Name | Alonzo J Logan Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 102 Park Pl, Kissimmee, Florida |
| Authorized Official Name and Position | Alonzo J Logan (PST) |
| Authorized Official Contact | 4078463535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alonzo J Logan Md Pa 102 Park Pl Ste D-1 Kissimmee FL 34741 Ph: (407) 846-3535 | Alonzo J Logan Md Pa 102 Park Pl Ste D-1 Kissimmee FL 34741 Ph: (407) 846-3535 |
| NPI Number | 1679519417 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679519417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23726 (Florida) | Primary |
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