Organization
ADVENTIST HEALTH SYSTEM/SUNBELT INC.
Active
Parent organization
ADVENTIST HEALTH SYSTEM/SUNBELT INC.
Other names
AdventHealth Centra Care - Lake Mary
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVENTIST HEALTH SYSTEM/SUNBELT INC.
Authorized official
SCOTT C. BRADY M.D. (PRESIDENT)
(407) 200-2300
Entity
Organization
Contact information
Practice address
2948 W. LAKE MARY BLVD., LAKE MARY, FL 32746
(407) 200-2300
Mailing address
2600 WESTHALL LN STE 300, MAITLAND, FL 32751-7107
(407) 200-2300
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
01
—
00690
MEDICARE PIN
FL
05
—
013961739
—
FL
01
—
Z8W3P
BCBS
FL
Enumeration date
02/23/2018
Last updated
04/20/2023
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