Physician Associates LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PHYSICIAN ASSOCIATES LLC

Practice address

12780 Waterford Lakes Pkwy
Suite 135
Orlando, FL 32828-4500

Phone

(407) 380-5888

Fax

(407) 384-1136

NPI assigned

Mar 26, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dennis Buhring

Title

Ceo

Phone

(407) 262-5715

Specialties & licenses 3

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1972879815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N WESTMONTE DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12780 WATERFORD LAKES PKWY",
            "address_2": "SUITE 135",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284500",
            "telephone_number": "407-380-5888",
            "fax_number": "407-384-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "BUHRING",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-262-5715"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062757700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Physician Associates LLC
• Physician Associates LLC
• Physician Associates LLC
• Physician Associates LLC
• Physician Associates LLC
• Physician Management Services of Florida LLC
• Physician Next Door, LLC
• Physician Next Door, LLC
• Physician Services Ipa LLC
• Physician Services of Florida LLC

• Pediatrics Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.