Alonzo J Logan Md Pa in Kissimmee - Family Medicine
Alonzo J Logan Md Pa - NPI 1679519417
Alonzo J Logan Md Pa is a Family Medicine in Kissimmee, Florida. Alonzo J Logan Md Pa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Alonzo J Logan Md Pa is 1679519417. The last update date is 2020-08-22.
Alonzo J Logan Md Pa's current location address is 102 Park Pl, Kissimmee, Florida. You can contact this provider via phone number 4078463535. The mailing address for Alonzo J Logan Md Pa is 102 Park Pl, Kissimmee, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Alonzo J Logan Md Pa |
|---|---|
| Address | 102 Park Pl, Kissimmee, Florida |
| Phone Number | 4078463535 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PST |
|---|---|
| Authorized Official Name | Logan J Alonzo |
| Credentials | MD |
| Telephone Number | 4078463535 |
NPI Number Detail
| NPI Number | 1679519417 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 102 Park Pl |
|---|---|
| City | Kissimmee |
| State | Florida (FL) |
| Post Code | 34741 |
| Phone Number | 4078463535 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 23726 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique identifier code issued to Alonzo J Logan Md Pa by the Centers for Medicare & Medicaid Services (CMS)?
The Alonzo J Logan Md Pa has been assigned the NPI (National Provider Identifier) 1679519417. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Alonzo J Logan Md Pa located?
The Alonzo J Logan Md Pa is located at 102 Park Pl, Kissimmee, FL 34741.
What is the Alonzo J Logan Md Pa's specialty and taxonomy code?
The Alonzo J Logan Md Pa's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679519417 to Alonzo J Logan Md Pa?
The Centers for Medicare & Medicaid Services originally issued the 1679519417 to Alonzo J Logan Md Pa on 2006-06-21.
When was the information regarding Alonzo J Logan Md Pa most recently updated?
The details pertaining to the Alonzo J Logan Md Pa, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.