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PHYSICIAN ASSOCIATES LLC NPI 1780841718


NPI Information

NPI: 1780841718
Provider Name: PHYSICIAN ASSOCIATES LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D0929347

Address:
1920 DON WICKHAM DR
SUITE 100 & 105
CLERMONT, FL
ZIP 34711
Phone: (352) 536-9336
Get Directions

PHYSICIAN ASSOCIATES LLC is a family medicine in Clermont, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PHYSICIAN ASSOCIATES LLC NPI is 1780841718. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1920 DON WICKHAM DR
SUITE 100 & 105
CLERMONT, FL
ZIP 34711-918
Phone: (352) 536-9336
Fax: (352) 536-1154

The provider's authorized official is Dennis J. Buhring .
The authorized official title is Ceo/chairman Of The Board and has the following contact phone number (407) 262-5710.

The CLIA number assigned to this NPI record is 10D0929347 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/19/2008 and was last updated on 10/4/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes
2207R00000XInternal MedicineNo
3208000000XPediatricsNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1062757700MEDICAIDFLORIDA
2CB3518MEDICARE PINFLORIDA
397037MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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