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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/CHAIRMAN OF THE BOARD)
(407) 649-7401
Entity
Organization
Contact information
Practice address
719 RODEL CV, SUITE 2001, LAKE MARY, FL 32746-5716
(407) 302-3106
(321) 203-4602
Mailing address
235 N WESTMONTE DR, ALTAMONTE SPRINGS, FL 32714-3345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062757700
—
FL
Enumeration date
08/24/2015
Last updated
10/04/2017
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