Organization Name: | PHYSICIAN ASSOCIATES LLC |
NPI Number: | 1336137280 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENNIS J. BUHRING (CEO/CHAIRMAN OF THE BOARD) |
Mailing Address: | 550 E State Road 434 Longwood |
State: | FL US |
Postal Code: | 327505222 |
Phone Number: | 4073817367 |
Fax Number: | 4073310647 |
NPI Enumeration Date: | 10/13/2005 |
NPI Last Update Date: | 09/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |