Alonzo J Logan MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23726 Issued in FL

Legal business name

ALONZO J LOGAN MD PA

Practice address

102 Park PL
Ste D-1
Kissimmee, FL 34741

Phone

(407) 846-3535

NPI assigned

Jun 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alonzo J Logan Sr., MD

Title

PST

Phone

(407) 846-3535

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679519417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PARK PL",
            "address_2": "STE D-1",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34741",
            "telephone_number": "407-846-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PARK PL",
            "address_2": "STE D-1",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34741",
            "telephone_number": "407-846-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALONZO J LOGAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "ALONZO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PST",
        "authorized_official_telephone_number": "407-846-3535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "23726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anamary Alonso Bermudez
• Emilio Alonso Jr., M.D.
• Kimberlin Estefany Alonso, RBT
• Stephanie Marie Alonso
• Valentin J Alonso, M.A., CCC-SLP
• Alp Housing Corp
• Alphacenter for Womens Health Inc
• Peggylynn Alphonse, CCC-SLP
• Abdulrazzaq Alsaffar
• Willie Alschen

• Family Medicine Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.