Individual
CARLTON JOSHUA LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2065 AIRPORT BLVD STE 300, PENSACOLA, FL 32504-5930
(850) 477-6966
Mailing address
1957 MARY JO WAY, PENSACOLA, FL 32534-9386
(251) 423-2408
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
6775
FL
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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