Doctor profile · Federal record
Dr. Logan Lauderdale
Physician Assistant · Student in an Organized Health Care Education/Training Program · Jacksonville, FL
- NPI 1427730126
- 3 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 12 locations across 1 states.
- Primary practice
-
2 Shircliff Way Ste 605
Jacksonville, FL 322044762
(904) 634-0640
fax (904) 634-0203 - Mailing address
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6800 Southpoint Pkwy Ste 300
Jacksonville, FL 322168203
Florida — 11 locations
- Additional location
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10475 Centurion Pkwy N Ste 220
Jacksonville, FL 322565004 - Additional location
-
15255 Max Legget Pkwy Ste 5300
Jacksonville, FL 322187274 - Additional location
-
1690 US Highway 1 S Ste F
St Augustine, FL 320846024 - Additional location
-
216 Southpark Cir E Ste 216
St Augustine, FL 320865135 - Additional location
-
2300 Park Ave Ste 206
Orange Park, FL 320735573 - Additional location
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232 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 320826600 - Additional location
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2627 Riverside Ave Ste 300
Jacksonville, FL 322044717 - Additional location
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3055 County Road 210 W Ste 210
St Johns, FL 322597000 - Additional location
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4268 Oldfield Crossing Dr Ste 201
Jacksonville, FL 322238800 - Additional location
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4565 US Highway 17 Ste 17
Fleming Island, FL 320034842 - Additional location
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6675 Corporate Center Pkwy Ste 115
Jacksonville, FL 322168088
(904) 245-8910
Credentials & registration
- NPI registered
- August 2023 — 3 yrs on file
- Profile last updated
- July 28, 2025
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Florida #PA9118127
- Medicaid
- FL #122689800
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1427730126. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$98
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Stryker Corporation | 2 | $97.96 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Logan Lauderdale's medical specialty?
Dr. Logan Lauderdale practices Physician Assistant in Jacksonville, FL.
Where does Dr. Logan Lauderdale practice?
Dr. Logan Lauderdale practices at 2 Shircliff Way Ste 605, Jacksonville, FL 322044762. Office phone: 9046340640.
What is Dr. Logan Lauderdale's NPI?
Dr. Logan Lauderdale's National Provider Identifier (NPI) is 1427730126, issued by NPPES.
Does Dr. Logan Lauderdale accept Medicare assignment?
Dr. Logan Lauderdale does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.