Organization
ADVENTIST HEALTH SYSTEM SUNBELT INC
Active
Parent organization
GLYCEMIC MANAGEMENT
Other names
Florida Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
GLYCEMIC MANAGEMENT
Authorized official
MR. HENDERSON PETER (DIRECTOR)
(407) 200-2227
Entity
Organization
Contact information
Practice address
2005 N ORANGE AVE, ORLANDO, FL 32804-5532
(407) 303-6749
Mailing address
2005 N ORANGE AVE, ORLANDO, FL 32804-5532
(407) 303-6749
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007
MEDICARE GROUP NUMBER
FL
Enumeration date
01/09/2012
Last updated
03/03/2016
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