Vander Woude, Logan Taylor

Vander Woude, Logan Taylor is an individual health care provider with primary practice located at 3500 Us Highway 1 , Vero Beach FL 32960-4511. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Vander Woude, Logan Taylor can be contacted via phone (772) 299-1404.

Contact Information

Primary practice address
3500 Us Highway 1 Vero Beach FL 32960-4511
Phone: (772) 299-1404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS17574 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X OS17574 Florida

Profile Details

NPI number 1972037018
LBN Legal business name Vander Woude, Logan Taylor
Credentials DO, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2017
Last updated Sep 16th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972037018 NPPES
Florida Other OS17574 MEDICAL LICENSE

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