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Organization
ADVENTIST HEALTH SYSTEM SUNBELT INC
Active
Organization
ADVENTIST HEALTH SYSTEM SUNBELT INC
Active
Other names
Centre for Family Medicine at Florida Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DARYL TOL (PRESIDENT/CEO)
(407) 303-1531
Entity
Organization
Contact information
Practice address
133 BENMORE DR., SUITE 200, WINTER PARK, FL 32792-4143
(407) 646-7070
(407) 646-7747
Mailing address
133 BENMORE DR., SUITE 200, WINTER PARK, FL 32792-4143
(407) 646-7070
(407) 646-7747
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
NULL
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
NULL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022549
AETNA POS EPO HMO
FL
05
—
037458000
—
FL
01
—
4437557
AETNA PPO
FL
01
—
99794
BLUE CROSS
FL
01
—
CA 3498
MEDICARE RAILROAD
FL
01
—
FHCO
FHHS
FL
Enumeration date
10/02/2006
Last updated
05/04/2016
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