# PHYSICIAN ADVISORS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Laser Spine Brevard, Physician Advisors LLC, Laser Spine Orlando
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184193161
- **Authorized official:** MRS. MONICA JOHNSON (ACCOUNT MANAGER)
- **Authorized official phone:** (425) 941-1360

## Contact information

- **Practice address:** 660 PALM SPRINGS DR, ALTAMONTE SPRINGS, FL 32701-7864
- **Practice address phone:** (855) 614-7246
- **Practice address fax:** (425) 270-3769
- **Mailing address:** 6785 ARROYO DR, MELBOURNE, FL 32940-8516
- **Mailing address phone:** (813) 731-5143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/19/2018
- **Last updated:** 08/04/2020