Individual
LOGAN BOSS-KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
83 W MILLER ST FL 9, ORLANDO, FL 32806-2031
(321) 841-4931
(321) 841-7930
Mailing address
83 W MILLER ST FL 9, ORLANDO, FL 32806-2031
(321) 841-4931
(321) 841-7930
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11035631
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11035631
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124978700
—
FL
Enumeration date
11/22/2024
Last updated
09/05/2025
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