# ADVENTHEALTH SENIOR CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AdventHealth Senior Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336756204
- **Authorized official:** MR. BRYAN STILTZ (PRESIDENT)
- **Authorized official phone:** (407) 357-2570

## Contact information

- **Practice address:** 1030 W CANTON AVE STE G100, WINTER PARK, FL 32789-3050
- **Practice address phone:** (407) 901-4086
- **Mailing address:** 900 HOPE WAY, ALTAMONTE SPRINGS, FL 32714-1502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | — | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 09/25/2020
- **Last updated:** 07/07/2023