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Organization

PHYSICIAN ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER SAVAGE (CONTRACTING/CREDENTIALING DIRECTOR)
(407) 649-7412
Entity
Organization

Contact information

Practice address
7350 SAND LAKE COMMONS BLVD, SUITE 1102, ORLANDO, FL 32819-8040
(407) 355-7478
(407) 354-2431
Mailing address
235 N WESTMONTE DR, ALTAMONTE SPRINGS, FL 32714-3345
(407) 262-5710
(407) 389-5312

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME87792
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010694500
FL
Enumeration date
10/09/2014
Last updated
10/04/2017
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