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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

NPI Number 1639337231
LBN Legal business name PHYSICIAN ASSOCIATES LLC
Authorized official ROBERT BOWLES - (CHAIRMAN OF THE BOARD, CHIEF OBGYN)
Entity Organization
Organization subpart 1 No
Enumeration date 05/30/2008
Last updated 10/04/2017 - About 9 years ago
Identifiers
FL Medicaid 062757700
FL Medicaid 062757712
FL Medicaid 062757718
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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