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PHYSICIAN ASSOCIATES LLC NPI 1962745851


NPI Information

NPI: 1962745851
Provider Name: PHYSICIAN ASSOCIATES LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
17325 PAGONIA DR
CLERMONT, FL
ZIP 34711
Phone: (407) 905-6014
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PHYSICIAN ASSOCIATES LLC is a pediatrics in Clermont, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PHYSICIAN ASSOCIATES LLC NPI is 1962745851. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17325 PAGONIA DR
CLERMONT, FL
ZIP 34711-008
Phone: (407) 905-6014
Fax: (407) 905-6015

The provider's authorized official is Dennis J. Buhring .
The authorized official title is President and has the following contact phone number (407) 262-5715.

The enumeration date for this NPI number is 3/29/2013 and was last updated on 10/6/2017.


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 MedicineME51666FLORIDANo
2207R00000XInternal MedicineME95202FLORIDANo
3208000000XPediatricsME62354FLORIDAYes

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
297037MEDICARE PIN

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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