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Contact Information

LOGAN T MAHLOCK
4364 SCORPIUS ST
ORLANDO, FL32816
 Phone: 407-823-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for LOGAN T MAHLOCK · (Male)

NPI Number 1396259867
Status Active
Credentials
Entity Individual
Enumeration date 11/20/2017
Last updated 07/04/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TX License # AT7560
  • Other 2000032233 BOARD OF CERTIFICATION
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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