Provider First Line Business Practice Location Address:
PHYSICIAN ASSOCIATES LLC
Provider Second Line Business Practice Location Address:
3400 QUADRANGLE BOULEVARD
Provider Business Practice Location Address City Name:
ORLANDO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-384-1030
Provider Business Practice Location Address Fax Number:
407-275-9937
Provider Enumeration Date:
07/27/2007