Organization
PHYSICIAN ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS J. BUHRING (PRESIDENT)
(407) 262-5715
Entity
Organization
Contact information
Practice address
17325 PAGONIA DR, CLERMONT, FL 34711-6008
(407) 905-6014
(407) 905-6015
Mailing address
235 N WESTMONTE DR, ALTAMONTE SPRINGS, FL 32714-3345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME51666
FL
207R00000X
Internal Medicine Physician
ME95202
FL
208000000X
Pediatrics Physician
Primary
ME62354
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062757700
—
FL
Enumeration date
03/29/2013
Last updated
10/06/2017
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