Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mallory Anne Logsdon, PA-C

Individual provider Physician Assistant · NPI 1306183090

Mallory Anne Logsdon, PA-C is a Physician Assistant in Lake Worth, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5507 S Congress Ave Ste 140
Lake Worth, FL 33462-1139
Phone: (561) 965-6685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9106949 (FL)

Record details

NPI number1306183090
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 15, 2013
Last updated in NPPESJanuary 27, 2014

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