Provider Demographics
NPI:1053363150
Name:BUHRMANN, LOUISE I (MD, PA)
Entity type:Individual
Prefix:DR
First Name:LOUISE
Middle Name:I
Last Name:BUHRMANN
Suffix:
Gender:F
Credentials:MD, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1035 S SEMORAN BLVD
Mailing Address - Street 2:SUITE 1027, BLDG 2
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-5512
Mailing Address - Country:US
Mailing Address - Phone:407-671-2258
Mailing Address - Fax:407-671-2675
Practice Address - Street 1:1035 S SEMORAN BLVD
Practice Address - Street 2:SUITE 1027, BLDG 2
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-5512
Practice Address - Country:US
Practice Address - Phone:407-671-2258
Practice Address - Fax:407-671-2675
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME223558062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAG9093369Medicaid
FLAG9093369Medicaid
FLK7643Medicare ID - Type Unspecified