Organization
ADVENTIST HEALTH SYSTEM/SUNBELT, INC.
Active
Parent organization
ADVENTIST HEALTH SYSTEM/SUNBELT, INC.
Other names
AdventHealth Total Health Management Primary Care Plus - Sanford
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVENTIST HEALTH SYSTEM/SUNBELT, INC.
Authorized official
SCOTT C BRADY MD (PRESIDENT)
(407) 200-2300
Entity
Organization
Contact information
Practice address
4425 W. 1ST STREET, SANFORD, FL 32771
(407) 200-2300
Mailing address
2600 WESTHALL LN STE 300, MAITLAND, FL 32751-7107
(407) 200-2300
(407) 200-1353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111754205
—
FL
01
—
DL090B
MEDICARE
FL
Enumeration date
08/18/2017
Last updated
04/20/2023
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