Individual provider · Type 1 NPI

Logan Scott Lauderdale

Physician Assistant · Jacksonville, FL

NPI number 1427730126 Active

Practice location

2 Shircliff Way Ste 605
Jacksonville, FL 32204-4762

Call (904) 634-0640 Map

Fax (904) 634-0203

Mailing address

6800 Southpoint Pkwy Ste 300
Jacksonville, FL 32216-8203

Other practice locations

  • 4565 US Highway 17 Ste 17, Fleming Island, FL 32003-4842 · (904) 634-0640
  • 15255 Max Legget Pkwy Ste 5300, Jacksonville, FL 32218-7274 · (904) 634-0640
  • 6675 Corporate Center Pkwy Ste 115, Jacksonville, FL 32216-8088 · (904) 245-8910
  • 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004 · (904) 634-0640
  • 4268 Oldfield Crossing Dr Ste 201, Jacksonville, FL 32223-8800 · (904) 634-0640
  • 3055 County Road 210 W Ste 210, St. Johns, FL 32259-7000 · (904) 634-0640
  • 216 Southpark Cir E Ste 216, St. Augustine, FL 32086-5135 · (904) 634-0640
  • 1690 US Highway 1 S Ste F, St. Augustine, FL 32084-6024 · (904) 634-0640
  • 2627 Riverside Ave Ste 300, Jacksonville, FL 32204-4717 · (904) 634-0640
  • 232 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600 · (904) 634-0640
  • 2300 Park Ave Ste 206, Orange Park, FL 32073-5573 · (904) 634-0640

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000XPA9118127 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1427730126

Logan Scott Lauderdale's National Provider Identifier is 1427730126, issued on Aug 2, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 28, 2025.