Individual
DR. CAROL ARMSTRONG LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
560 RINEHART RD, SUITE 100, LAKE MARY, FL 32746-4897
(407) 333-7333
(407) 333-7313
Mailing address
560 RINEHART RD, SUITE 100, LAKE MARY, FL 32746-4897
(407) 333-7333
(407) 333-7313
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2262
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410045139
MEDICARE RR
FL
Enumeration date
11/11/2006
Last updated
11/08/2007
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