Search › Florida › 363A00000X
Logan Lauderdale
NPI 1427730126 · on the registry since 2023 · sole proprietor
Practice
- Address
- 2 Shircliff Way Ste 605
Jacksonville, FL 32204 - Phone
- (904) 634-0640
- Fax
- (904) 634-0203
- Organisation at this address
- Pharmacy4humanity
Kim Orthopedic Llc
Benjamin E Moore Md Pa
Cancer Specialists Llc
Cancer Specialists LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 97
Additional practice sites
- 4565 Us Highway 17 Ste 17, Fleming Island, FL
- 15255 Max Legget Pkwy Ste 5300, Jacksonville, FL
- 6675 Corporate Center Pkwy Ste 115, Jacksonville, FL
- 10475 Centurion Pkwy N Ste 220, Jacksonville, FL
- 4268 Oldfield Crossing Dr Ste 201, Jacksonville, FL
- 3055 County Road 210 W Ste 210, St Johns, FL
- 216 Southpark Cir E Ste 216, St Augustine, FL
- 1690 Us Highway 1 S Ste F, St Augustine, FL
- 2627 Riverside Ave Ste 300, Jacksonville, FL
- 232 Ponte Vedra Park Dr, Ponte Vedra Beach, FL
- 2300 Park Ave Ste 206, Orange Park, FL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida