Organization
PHYSICIAN ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS J. BUHRING (CEO/CHAIRMAN OF THE BOARD)
(407) 262-5710
Entity
Organization
Contact information
Practice address
867 OUTER RD, SUITE A, ORLANDO, FL 32814-6652
(407) 898-6588
(407) 896-3785
Mailing address
235 N WESTMONTE DR, ALTAMONTE SPRINGS, FL 32714-3345
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062757700
—
FL
05
—
062757712
—
FL
Enumeration date
05/19/2008
Last updated
10/04/2017
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