Organization
ADVENTIST HEALTH SYSTEM/SUNBELT, INC.
Active
Parent organization
ADVENTIST HEALTH SYSTEMS SUNBELT HC CO
Other names
AdventHealth Centra Care - Leesburg
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVENTIST HEALTH SYSTEMS SUNBELT HC CO
Authorized official
SCOTT C BRADY MD (PRESIDENT/CEO)
(407) 200-2300
Entity
Organization
Contact information
Practice address
1103 N 14TH STREET, LEESBURG, FL 34748
(352) 314-2328
(352) 314-3058
Mailing address
2600 WESTHALL LANE BOX 300, MAITLAND, FL 32751
(407) 200-2300
(407) 200-1353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013961716
—
FL
01
—
B90R0
BCBS
FL
Enumeration date
02/12/2015
Last updated
04/20/2023
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