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Organization

ADVENTIST HEALTH SYSTEM/SUNBELT, INC.

Active
Parent organization
ADVENTIST HEALTH SYSTEMS SUNBELT HC CO
Other names
AdventHealth Centra Care Kids Lake Mary
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
105 S. COUNTRY CLUB ROAD, LAKE MARY, FL 32746
(321) 363-4927
(321) 363-0672
Mailing address
2600 WESTHALL LN 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
013961730
FL
01
47GJP
BCBS
FL
Enumeration date
11/18/2015
Last updated
04/20/2023
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