Organization
PHYSICIAN ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS BUHRING (CEO)
(407) 262-5715
Entity
Organization
Contact information
Practice address
12780 WATERFORD LAKES PKWY, SUITE 135, ORLANDO, FL 32828-4500
(407) 380-5888
(407) 384-1136
Mailing address
235 N WESTMONTE DR, ALTAMONTE SPRINGS, FL 32714-3345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062757700
—
FL
Enumeration date
03/26/2012
Last updated
10/04/2017
Update your record
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