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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) 649-7401
Entity
Organization
Contact information
Practice address
3724 WINTER GARDEN VINELAND RD, WINTER GARDEN, FL 34787-5483
(407) 306-6306
(407) 306-6304
Mailing address
77 W UNDERWOOD ST FL 5, MP146, ORLANDO, FL 32806-1122
(407) 649-7400
(407) 649-7429
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME63815
FL
207V00000X
Obstetrics & Gynecology Physician
ME113197
FL
208000000X
Pediatrics Physician
ME66473
FL
Other
Enumeration date
12/09/2013
Last updated
08/07/2015
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