Organization
PHYSICIAN ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS J. BUHRING (CEO)
(407) 262-5715
Entity
Organization
Contact information
Practice address
3288 GREENWALD WAY N, KISSIMMEE, FL 34741-0728
(407) 932-7930
(407) 932-7935
Mailing address
235 N WESTMONTE DR, ALTAMONTE SPRINGS, FL 32714-3345
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062757700
—
FL
Enumeration date
06/28/2012
Last updated
10/04/2017
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