# PHYSICIAN ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245662212
- **Authorized official:** DENNIS J. BUHRING (PRESIDENT/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (407) 262-5715

## Contact information

- **Practice address:** 719 RODEL CV, SUITE 1015, LAKE MARY, FL 32746-5716
- **Practice address phone:** (407) 330-4690
- **Practice address fax:** (407) 302-3133
- **Mailing address:** 235 N WESTMONTE DR, ALTAMONTE SPRINGS, FL 32714-3345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME67849 | FL | Yes |

## Other

- **Enumeration date:** 08/01/2013
- **Last updated:** 10/04/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 062757700 | — | FL |
| 05 | — | 062757724 | — | FL |