ELIZABETH LOGAN

MELBOURNE, FL
NPI1851721302
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP9232775)
Enumeration Date2013-11-20
Last Update Date2018-09-26
Business Address
ELIZABETH LOGAN
1130 HICKORY ST STE B
MELBOURNE, FL 32901-1973
Phone number: 321-361-5599
Mailing Address
ELIZABETH LOGAN
3300 S FISKE BLVD
ROCKLEDGE, FL 32955-4306
Phone number: 321-361-5599