| Physician Associates Llc | |
|
17327 Pagonia Dr Clermont FL 34711-6009 | |
| (407) 905-6000 | |
| (407) 905-6001 |
| Full Name | Physician Associates Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 17327 Pagonia Dr, Clermont, Florida |
| Authorized Official Name and Position | Dennis J. Buhring (PRESIDENT) |
| Authorized Official Contact | 4072625715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Associates Llc 235 N Westmonte Dr Altamonte Springs FL 32714-3345 Ph: () - | Physician Associates Llc 17327 Pagonia Dr Clermont FL 34711-6009 Ph: (407) 905-6000 |
| NPI Number | 1922341858 |
|---|---|
| Provider Enumeration Date | 03/28/2013 |
| Last Update Date | 10/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922341858 | NPI | - | NPPES |
| 062757700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | ME62354 (Florida) | Secondary |
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