PHYSICIAN ASSOCIATES LLC (NPI# 1891061735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891061735 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN ASSOCIATES LLC |
| Practice Address |
12780 Waterford Lakes Pkwy Suite 125 Orlando FL 32828-4500 |
| Mailing Address |
235 N Westmonte Dr Altamonte Springs FL 32714-3345 |
| Practice Telephone | 4073805888 |
| Practice Fax Number | 4073841136 |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2017-10-04 |
| Authorized Official Name | DENNIS BUHRING (CEO) |
| Authorized Official Telephone | 4072625710 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 062757700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356834592 | Physician Associates LLC | Pediatrics | 4757 The Grove Dr Ste 250, Windermere, FL 34786-8426 | 2018-06-12 |
| 1679061055 | Physician Associates LLC | Obstetrics & Gynecology | 17000 Porter Road, Winter Garden, FL 34787 | 2018-05-01 |
| 1861980229 | Physician Associates LLC | Family Medicine | 21 Columbia St Ste 200, Orlando, FL 32806-1133 | 2018-05-01 |
| 1215425780 | Physician Associates LLC | Obstetrics & Gynecology | 1135 E Sr 434 Fl 1, Winter Springs, FL 32708-2746 | 2018-04-30 |
| 1730677204 | Physician Associates LLC | Obstetrics & Gynecology | 4932 Sr 46 Ste 1090, Sanford, FL 32771-9244 | 2018-04-30 |
| 1881197903 | Physician Associates LLC | Internal Medicine | 22316 Us Highway 27, Leesburg, FL 34748 | 2018-03-15 |
| 1235632548 | Physician Associates LLC | Obstetrics & Gynecology | 1578 W Orange Blossom Trl, Apopka, FL 32712-2639 | 2018-03-13 |
| 1215441712 | Physician Associates LLC | Obstetrics & Gynecology | 1435 Division Ave, Ocoee, FL 34761-2974 | 2017-11-21 |
| 1912417288 | Physician Associates LLC | Pediatrics | 4020 Winter Garden Vineland Rd, Winter Garden, FL 34787-9502 | 2017-10-02 |
| 1467977454 | Physician Associates LLC | Pediatrics | 14065 Town Loop Blvd Ste 300, Orlando, FL 32837-6199 | 2017-08-10 |
| Street Address |
12780 WATERFORD LAKES PKWY SUITE 125 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32828-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861494684 | William Biaggi Jr. | Physical Therapist | 12780 Waterford Lakes Pkwy, Suite 115, Orlando, FL 32828-4500 | 2005-08-11 |
| 1538592464 | Ashlee Hanover | Massage Therapist | 12780 Waterford Lakes Pkwy, Ste 115, Orlando, FL 32828-4500 | 2013-08-14 |
| 1720428113 | Katheryn Cabrera | Nurse Practitioner | 12780 Waterford Lakes Pkwy, Suite 120, Orlando, FL 32828-4500 | 2013-06-28 |
| 1093061673 | Orlando Sports Medicine Group, Inc | Physical Therapist | 12780 Waterford Lakes Pkwy, Ste 115, Orlando, FL 32828-4500 | 2012-08-01 |
| 1609142553 | Physician Associates LLC | Obstetrics & Gynecology | 12780 Waterford Lakes Pkwy, Suite 120, Orlando, FL 32828-4500 | 2012-03-26 |
| 1972879815 | Physician Associates LLC | Obstetrics & Gynecology | 12780 Waterford Lakes Pkwy, Suite 135, Orlando, FL 32828-4500 | 2012-03-26 |
| 1336435668 | Hamilton Baird | Massage Therapist | 12780 Waterford Lakes Pkwy, Ste 115, Orlando, FL 32828-4500 | 2011-06-24 |
| 1093947830 | Jacqueline Santiago | Massage Therapist | 12780 Waterford Lakes Pkwy, Suite 115, Orlando, FL 32828-4500 | 2009-08-12 |
| 1598910226 | Daniel E Flynn | Physical Therapist | 12780 Waterford Lakes Pkwy, Ste 115, Orlando, FL 32828-4500 | 2008-11-21 |
| 1902095342 | Abbie Chappell | Massage Therapist | 12780 Waterford Lakes Pkwy, Ste 115, Orlando, FL 32828-4500 | 2007-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578057501 | Antonia Mejia | Social Worker | 15260 Sugargrove Way, Orlando, FL 32828 | 2018-06-22 |
| 1871087692 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 3502 Avalon Park East Blvd, Orlando, FL 32828 | 2018-06-15 |
| 1386169738 | Ashley Nicole Wilkins | Specialist/Technologist | 2653 Wembleycross Way, Orlando, FL 32828 | 2017-08-07 |
| 1558812388 | Porta Nova Homemaker Companion Services, LLC | In Home Supportive Care | 515 Spring River Drive, Orlando, FL 32828 | 2016-10-17 |
| 1467908715 | Alexander Duque | Dentist | 785 N Alafaya Trail, Orlando, FL 32828 | 2016-08-28 |
| 1568819886 | Nicole Kircher | Behavioral Analyst | 757 Sterling Springs Rd, Orlando, FL 32828 | 2016-05-17 |
| 1477908556 | Sandra Maria Garcia | Speech-Language Pathologist | 4961 Atwood Dr, Orlando, FL 32828 | 2016-04-26 |
| 1821473380 | Sandra Ware | Physical Therapy Assistant | 498 Palm Springs Dr, Ste 345, Orlando, FL 32828 | 2015-07-27 |
| 1649674367 | Lisa M Keough | Occupational Therapist | 447 Bella Vida Blvd., Creative Speech Solutions & Therapy, Orlando, FL 32828 | 2014-10-09 |
| 1336549781 | Melissa Cossu | Developmental Therapist | 14428 Turning Leaf Dr, Orlando, FL 32828 | 2014-09-03 |
| Find all providers in zip 32828 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884081 | Radiance Center for Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 653 E Jackson St, Orlando, FL 32801-2809 | 2020-09-02 |
| 1194214684 | Advance Obgyn of Central Florida | Obstetrics & Gynecology | 4170 Town Ctr Blvd Ste 104, Orlando, FL 32837 | 2018-05-09 |
| 1568914091 | Physician Associates LLC | Obstetrics & Gynecology | 7243 Della Drive, Orlando, FL 32819-9999 | 2016-11-01 |
| 1922454354 | Luis G. Del Pilar Rodriguez | Obstetrics & Gynecology | 4170 W Town Center Blvd Ste 104, Orlando, FL 32837-5875 | 2016-05-04 |
| 1396149258 | Obstetrics and Gynecology Specialists of Central Florida, P.a. | Obstetrics & Gynecology | 930 S Semoran Blvd, Orlando, FL 32807-3005 | 2014-10-21 |
| 1417351743 | Physician Associates LLC | Obstetrics & Gynecology | 9679 Lake Nona Village Place, Suite 101, 103, and 104, Orlando, FL 32827-9999 | 2014-10-15 |
| 1417254178 | Mary Sue Makin | Obstetrics & Gynecology | 5108 Brenda Dr, Orlando, FL 32812-8717 | 2011-02-16 |
| 1750510087 | Orlando Women Center LLC | Obstetrics & Gynecology | 1103 Lucerne Ter, Orlando, FL 32806-1016 | 2009-07-08 |
| 1679719587 | Womens Care Florida LLP | Obstetrics & Gynecology | 24 Sturtevant St, Orlando, FL 32806-2019 | 2008-12-23 |
| 1174775696 | Susanne V Osborne | Obstetrics & Gynecology | 3438 Lawton Rd # 2b, Orlando, FL 32803-2948 | 2008-10-15 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.