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Organization

PHYSICIAN ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DENNIS J. BUHRING (CEO/MEMBER OF THE BOARD)
(407) 262-5710
Entity
Organization

Contact information

Practice address
7404 RED BUG LAKE RD, OVIEDO, FL 32765-7154
(407) 381-7345
(407) 366-2908
Mailing address
235 N WESTMONTE DR, PHYSICIAN ASSOCIATES LLC, ALTAMONTE SPRINGS, FL 32714-3345

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
213E00000X
Podiatrist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
062757700
FL
05
062757707
FL
Enumeration date
05/16/2008
Last updated
10/04/2017
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