LOGAN MALTER

DAYTONA BEACH, FL
NPI1215611793
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  TRN38200)
Enumeration Date2023-06-14
Last Update Date2023-06-14
Business Address
LOGAN MALTER
201 N CLYDE MORRIS BLVD STE 200
DAYTONA BEACH, FL 32114-2765
Phone number: 386-425-4165
Mailing Address
LOGAN MALTER
201 N CLYDE MORRIS BLVD STE 200
DAYTONA BEACH, FL 32114-2765
Phone number: 386-425-4165
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