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Contact Information

PHYSICIAN ASSOCIATES LLC
855 OUTER ROAD
PHYSICIAN ASSOCIATES LLC
ORLANDO, FL32814
 Phone: 407-893-7377
 Fax: 407-896-8702
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PHYSICIAN ASSOCIATES LLC · (Female)

NPI # 1639337231
Status Active
Credentials
Entity Individual
Enumeration date 05/30/2008
Last updated 10/04/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 062757700
  • FL Medicaid 062757712
  • FL Medicaid 062757718
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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