# ADVENTIST HEALTH SYSTEMS SUNBELT INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Loch Haven OB/GYN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720172224
- **Authorized official:** MR. DARYL TOL (PRESIDENT/CED)
- **Authorized official phone:** (407) 303-1531

## Contact information

- **Practice address:** 235 E. PRINCETON ST, SUITE 200, ORLANDO, FL 32804
- **Practice address phone:** (407) 303-1444
- **Practice address fax:** (407) 303-1446
- **Mailing address:** 235 E.PRINCETON ST, SUITE 200, ORLANDO, FL 32804
- **Mailing address phone:** (407) 303-1444
- **Mailing address fax:** (407) 303-1446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 12/30/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010129012 | — | FL |
| 01 | — | 0476716 | AETNA HMO EPO | FL |
| 01 | — | 4578757 | AETNA PPO | FL |
| 01 | — | 97809 | BLUE CROSS | FL |
| 01 | — | CB 1994 | MEDICARE RAILROAD | FL |