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Individual

JAMES LOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
3251 3RD AVE N, ST PETERSBURG, FL 33713-8506
(727) 498-4969
(855) 896-5258
Mailing address
3251 3RD AVE N, ST PETERSBURG, FL 33713-8506
(727) 498-4969
(855) 896-5258

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9275298
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN9275298
FLORIDA STAT BOARD OF NURSING
FL
Enumeration date
02/09/2022
Last updated
02/09/2022
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