Organization
ADVENTIST HEALTH SYSTEM SUNBELT INC
Active
Other names
Center for Pediatric and Adolescent Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARYL TOL (PRESIDENT/CEO)
(407) 303-1531
Entity
Organization
Contact information
Practice address
15502 STONEYBROOK WEST PKWY, SUITE 2-108, WINTER GARDEN, FL 34787-4767
(407) 656-0042
(407) 656-0633
Mailing address
15502 STONEYBROOK WEST PKWY, SUITE 2-108, WINTER GARDEN, FL 34787-4767
(407) 656-0042
(407) 656-0633
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
Other
Enumeration date
07/19/2012
Last updated
11/24/2015
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