Organization
PHYSICIAN ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS J. BUHRING (CEO/MEMBER OF THE BOARD)
(407) 262-5710
Entity
Organization
Contact information
Practice address
6447 S. CHICKASAW TRAIL, ORLANDO, FL 32829
(407) 277-9242
(407) 277-5805
Mailing address
PO BOX 522468, PHYSICIAN ASSOCIATES LLC, LONGWOOD, FL 32752-2468
(407) 262-5710
(407) 262-5796
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062757700
—
FL
05
—
062757711
—
FL
Enumeration date
05/16/2008
Last updated
04/25/2011
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