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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 (PRESIDENT/AUTHORIZED OFFICIAL)
(407) 262-5715
Entity
Organization
Contact information
Practice address
2101 PARK CENTER DR, SUITE 130, ORLANDO, FL 32835-7626
(407) 985-1670
(407) 985-1668
Mailing address
235 N WESTMONTE DR, ALTAMONTE SPRINGS, FL 32714-3345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME79030
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062757700
—
FL
Enumeration date
07/30/2013
Last updated
10/04/2017
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