Organization
ADVENTIST HEALTH SYSTEM/SUNBELT, INC.
Active
Parent organization
ADVENTIST HEALTH SYSTEM SUNBELT HC CO
Other names
AdventHealth Centra Care - Sanford
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVENTIST HEALTH SYSTEM SUNBELT HC CO
Authorized official
SCOTT C BRADY MD (PRESIDENT/CEO)
(407) 200-2300
Entity
Organization
Contact information
Practice address
4451 WEST 1ST STREET, SANFORD, FL 32771
(407) 330-3412
(407) 330-6849
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
—
FL
332900000X
Non-Pharmacy Dispensing Site
ME57207
FL
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013961728
—
FL
01
—
B900Q
BCBS
FL
Enumeration date
10/03/2007
Last updated
04/20/2023
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