MEDICARE: LOUISE I BUHRMANN MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	ME0035806	FL

General Provider Information

NPI Number	:	1700075850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOUISE I BUHRMANN MD PA

Provider Business Mailing Address
First Line	:	1035 S SEMORAN BLVD
Second Line	:	SUITE 1027, BLDG 2
City	:	WINTER PARK
State	:	FL
Zip	:	32792-5526
Country	:	US
Telephone Number	:	407-671-2258
Fax Number	:	407-671-2675

Provider Business Practice Location Address
First Line	:	1035 S SEMORAN BLVD
Second Line	:	SUITE 1027, BLDG 2
City	:	WINTER PARK
State	:	FL
Zip	:	32792-5526
Country	:	US
Telephone Number	:	407-671-2258
Fax Number	:	407-671-2675

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. TERESA M ADAMS
Credential	:
Telephone Number	:	407-671-2258

Provider Enumeration Date	:	10/15/2007
Last Update Date	:	07/02/2013

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