Individual
SARA LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2525 HARBOR BLVD, SUITE 104, PORT CHARLOTTE, FL 33952-5317
(941) 629-5757
(941) 255-0140
Mailing address
3434 HANCOCK BRIDGE PKWY, STE 301, NORTH FORT MYERS, FL 33903-7099
(877) 856-3774
(239) 599-2612
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9281782
FL
Other
Enumeration date
07/31/2014
Last updated
02/23/2017
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