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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)
(407) 262-5715
Entity
Organization
Contact information
Practice address
17327 PAGONIA DR, CLERMONT, FL 34711-6009
(407) 905-6000
(407) 905-6001
Mailing address
235 N WESTMONTE DR, ALTAMONTE SPRINGS, FL 32714-3345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
ME62354
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062757700
—
FL
Enumeration date
03/28/2013
Last updated
10/06/2017
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