Organization
PHYSICIAN ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS J. BUHRING (PRESIDENT)
(407) 649-7401
Entity
Organization
Contact information
Practice address
3464 AVALON PARK EAST BLVD, ORLANDO, FL 32828-7363
(407) 389-5300
(407) 389-5363
Mailing address
235 N WESTMONTE DR, ALTAMONTE SPRINGS, FL 32714-3345
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/28/2017
Last updated
10/04/2017
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