Organization
ADVENTIST HEALTH SYSTEM/SUNBELT, INC
Active
Parent organization
ADVENTIST HEALTH SYSTEM/SUNBELT, INC
Other names
AdventHealth Total Health Management Primary Care Plus - Windermere
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVENTIST HEALTH SYSTEM/SUNBELT, INC
Authorized official
MR. SCOTT C BRADY MD (PRESIDENT)
(407) 200-2300
Entity
Organization
Contact information
Practice address
4757 THE GROVE DR STE 132, WINDERMERE, FL 34786-8426
(407) 200-2300
Mailing address
2600 WESTHALL LN, MAITLAND, FL 32751-7102
(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
—
111754207
—
FL
01
—
DL090B
MEDICARE
FL
Enumeration date
10/26/2021
Last updated
04/18/2023
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