Organization
ADVENTIST HEALTH SYSTEMS SUNBELT INC
Active
Other names
Center for Family Care at Florida Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARYL TOL (PRESIDENT/CED)
(407) 303-1531
Entity
Organization
Contact information
Practice address
7975 LAKE UNDERHILL ROAD, SUITE 200, ORLANDO, FL 32822
(407) 303-6830
(407) 303-8659
Mailing address
7975 LAKE UNDERHILL ROAD, SUITE 200, ORLANDO, FL 32822
(407) 303-6830
(407) 303-8659
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010129007
—
FL
01
—
2657659
AETNA HMO POS EPO
FL
01
—
7718278
AETNA PPO
FL
01
—
99794
BLUE CROSS
FL
01
—
CA3498
MEDICARE RAILROAD
FL
01
—
FHCE
FHHS
FL
Enumeration date
09/14/2006
Last updated
12/31/2015
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