# PHYSICIAN ASSOCIATES LLC

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

## Provider details

- **NPI number:** 1720245756
- **Authorized official:** MR. DENNIS J. BUHRING (CEO/MEMBER OF THE BOARD)
- **Authorized official phone:** (407) 262-5710

## Contact information

- **Practice address:** 7416 RED BUG LAKE RD, OVIEDO, FL 32765-7154
- **Practice address phone:** (407) 381-7387
- **Practice address fax:** (407) 977-4128
- **Mailing address:** 235 N WESTMONTE DR, PHYSICIAN ASSOCIATES LLC, ALTAMONTE SPRINGS, FL 32714-3345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 05/19/2008
- **Last updated:** 10/04/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 062757700 | — | FL |
| 05 | — | 062757716 | — | FL |
