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Organization
PHYSICIAN ASSOCIATES LLC
Active
Organization
PHYSICIAN ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS J. BUHRING (CEO/MEMBER OF THE BOARD)
(407) 262-5710
Entity
Organization
Contact information
Practice address
800 N MAITLAND AVE, SUITES 101, 102, 103 & 201, MAITLAND, FL 32751-4427
(407) 660-7100
(407) 660-7051
Mailing address
235 N WESTMONTE DR, PHYSICIAN ASSOCIATES LLC, ALTAMONTE SPRINGS, FL 32714-3345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062757700
—
FL
05
—
062757706
—
FL
Enumeration date
05/16/2008
Last updated
10/04/2017
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