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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALONZO J LOGAN MD PA

Active Organization

ALONZO J LOGAN MD PA is a Family Medicine organization located in KISSIMMEE, Florida. NPI 1679519417 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · KISSIMMEE, FL

Registration Details

NPI Number
1679519417
Provider Type
Organization
NPI Issued
Jun 21, 2006 (20.139103228654 yrs)
Last Updated
Aug 22, 2020
License
23726 (FL)

Practice Information

Address
102 PARK PL
STE D-1
KISSIMMEE, FL, 34741
Browse FL providers · Browse ZIP 34741
Phone
4078463535
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.