LOGAN LAUDERDALE

Physician Assistant

Active Individual
NPI: 1427730126

Practice Address

2 SHIRCLIFF WAY STE 605
Jacksonville, FL 32204

Phone: (904) 634-0640

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Physician Assistant 363A00000X Yes PA9118127 (FL)

Frequently Asked Questions

NPI 1427730126 is the National Provider Identifier for LOGAN LAUDERDALE, a Physician Assistant provider located in Jacksonville, FL. This NPI was enumerated on August 2, 2023.
LOGAN LAUDERDALE practices at 2 SHIRCLIFF WAY STE 605, Jacksonville, FL 32204.

Quick Facts

NPI
1427730126
Type
Individual
Enumerated
Aug 2, 2023
Last Updated
Jul 28, 2025

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