Organization
ADVENTIST HEALTH SYSTEM/SUNBELT, INC
Active
Parent organization
ADVENTIST HEALTH SYSTEM SUNBELT, INC
Other names
AdventHealth Primary Care Plus -Port Orange, AdventHealth Total Health Management /AdventHealth Primary Care Plus
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVENTIST HEALTH SYSTEM SUNBELT, INC
Authorized official
SCOTT C BRADY MD (PRESIDENT)
(407) 200-2300
Entity
Organization
Contact information
Practice address
5821 S. WILLIAMSON BLVD, SUITE 205, PORT ORANGE, FL 32128
(407) 200-2300
Mailing address
2600 WESTHALL LN STE 300, MAITLAND, FL 32751-7107
(407) 200-2300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111754211
—
FL
01
—
DL090B
MEDICARE
FL
Enumeration date
05/03/2022
Last updated
04/20/2023
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