ALONZO J LOGAN MD PA
Marriage and Family Therapists at Park Pl, Kissimmee, FL

License number
Florida 23726
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. ALONZO J LOGAN SR. MD
Title: PST
Phone: (407) 846-3535
Address
Address
102 Park Place Blvd STE D-1, Kissimmee, FL 34741
National Provider ID: 1679519417
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Alonzo J. Logan M.D., PA

Kissimmee, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Aug 1, 1980
Addresses:
102 Park Pl Blvd, Kissimmee, FL 34741
1540 Grandview Blvd, Kissimmee, FL 34744
State ID:
680065
Business type:
Domestic for Profit Corporation
President, Treasurer, Secretary, Director:
Alonzo J. Logan President, Treasurer, Secretary, Director, inactive

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