Organization
PHYSICIAN ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS J. BUHRING (PRESIDENT/AUTHORIZED OFFICIAL)
(407) 262-5715
Entity
Organization
Contact information
Practice address
719 RODEL CV, SUITE 1015, LAKE MARY, FL 32746-5716
(407) 330-4690
(407) 302-3133
Mailing address
235 N WESTMONTE DR, ALTAMONTE SPRINGS, FL 32714-3345
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME67849
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062757700
—
FL
05
—
062757724
—
FL
Enumeration date
08/01/2013
Last updated
10/04/2017
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