Individual
SYDNEY ELIZABETH LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
2301 PARK AVE STE 203, ORANGE PARK, FL 32073-5558
(904) 203-8559
Mailing address
1332 CAMPBELL AVE, JACKSONVILLE, FL 32207-2212
(740) 398-4952
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
405
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
405
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
04/05/2021
Last updated
04/05/2021
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