Healthcare Provider Details

I. General information

NPI: 1053363150
Provider Name (Legal Business Name): LOUISE I. BUHRMANN MD, PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 10/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 S SEMORAN BLVD SUITE 1027, BLDG 2
WINTER PARK FL
32792-5512
US

IV. Provider business mailing address

1035 S SEMORAN BLVD SUITE 1027, BLDG 2
WINTER PARK FL
32792-5512
US

V. Phone/Fax

Practice location:
  • Phone: 407-671-2258
  • Fax: 407-671-2675
Mailing address:
  • Phone: 407-671-2258
  • Fax: 407-671-2675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME22355806
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: