Organization
THE CHILDRENS CENTER LLC
Active
Organization
THE CHILDRENS CENTER LLC
Active
Other names
Childrens Center For Gastroenterology & Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS J. BUHRING (PRESIDENT)
(407) 649-7401
Entity
Organization
Contact information
Practice address
719 RODEL CV, SUITE 2001, LAKE MARY, FL 32746-5716
(407) 351-0804
(321) 203-4605
Mailing address
PO BOX 522468, LONGWOOD, FL 32752-2468
(407) 389-5300
(407) 389-5363
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
ME66349
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25816
BCBSFL
FL
01
—
5223945015
CIGNA HMO
FL
Enumeration date
05/21/2008
Last updated
12/15/2016
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