Organization
PHYSICIAN ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS J. BUHRING (CEO/MEMBER OF THE BOARD)
(407) 649-7401
Entity
Organization
Contact information
Practice address
7350 SANDLAKE COMMONS BLVD, SUITE 1102, ORLANDO, FL 32819-8040
(407) 355-7478
(407) 354-2431
Mailing address
77 W UNDERWOOD ST FL 5, MP 146, ORLANDO, FL 32806-1122
(407) 649-7400
(407) 649-7429
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062757700
—
FL
05
—
062757719
—
FL
Enumeration date
05/16/2008
Last updated
08/20/2015
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