# ADVENTHEALTH PRIMARY CARE RMR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ADVENTHEALTH PRIMARY CARE CRYSTAL VALLEY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194635532
- **Authorized official:** DESTIN HARCUS (CFO)
- **Authorized official phone:** (225) 328-1607

## Contact information

- **Practice address:** 4141 PLUM CREEK BLVD UNIT 200, CASTLE ROCK, CO 80104-4130
- **Practice address phone:** (720) 455-8003
- **Practice address fax:** (720) 985-2087
- **Mailing address:** 2600 WESTHALL LN STE 200, MAITLAND, FL 32751-7107
- **Mailing address phone:** (407) 200-2857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2026
- **Last updated:** 09/11/2026