Individual
LOGAN CHADWICK ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 862-1111
Mailing address
5294 LAKEWOOD DR, MILTON, FL 32570-6824
(850) 826-2323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9565867
FL
Other
Enumeration date
08/09/2025
Last updated
08/09/2025
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