MEDICARE: DR. 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	ME22355806	FL

General Provider Information

NPI Number	:	1053363150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. 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	:	32792-5512
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	:	32792-5512
Country	:	US
Telephone Number	:	407-671-2258
Fax Number	:	407-671-2675

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	10/30/2013

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