| Physician Associates Llc | |
|
855 Outer Road Physician Associates Llc Orlando FL 32814 | |
| (407) 893-7377 | |
| (407) 896-8702 |
| Full Name | Physician Associates Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 855 Outer Road, Orlando, Florida |
| Authorized Official Name and Position | Robert J. Bowles (CHAIRMAN OF THE BOARD, CHIEF OBGYN) |
| Authorized Official Contact | 4072625710 |
| 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 855 Outer Road Physician Associates Llc Orlando FL 32814 Ph: (407) 893-7377 |
| NPI Number | 1639337231 |
|---|---|
| Provider Enumeration Date | 05/30/2008 |
| Last Update Date | 10/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639337231 | NPI | - | NPPES |
| 062757700 | Medicaid | FL | |
| 062757712 | Medicaid | FL | |
| 062757718 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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Spartan Medical Men's Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9145 Narcoossee Rd Ste A102, Orlando, FL 32827 Phone: 407-703-6020 | |
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Physician Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7350 Sandlake Commons Blvd, Suite 1102, Orlando, FL 32819 Phone: 407-355-7478 Fax: 407-354-2431 |