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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
21 W COLUMBIA ST, SUITE 101, ORLANDO, FL 32806-1133
(407) 381-7387
(407) 971-0632
Mailing address
21 W COLUMBIA ST, SUITE 101, ORLANDO, FL 32806-1133
(407) 381-7387
(407) 381-7387
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME66010
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062757700
—
FL
Enumeration date
11/13/2013
Last updated
10/04/2017
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