Organization
ADVENTIST HEALTH SYSTEM-SUNBELT, INC
Active
Other names
Florida Hospital Transplant Center
Organization subpart
No
Provider details
NPI number
Authorized official
HENDERSON PETER (DIRECTOR)
(407) 200-2227
Entity
Organization
Contact information
Practice address
2415 N ORANGE AVE, SUITE 700, ORLANDO, FL 32804-5505
(407) 330-3247
(407) 303-2478
Mailing address
2415 N ORANGE AVE, SUITE 700, ORLANDO, FL 32804-5505
(407) 330-3247
(407) 303-2478
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RI0008X
Hepatology Physician
—
—
207RT0003X
Transplant Hepatology Physician
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007
MEDICARE GROUP NUMBER
FL
05
—
274870301
—
FL
01
—
74646
BLUE CROSS
FL
Enumeration date
12/05/2006
Last updated
04/28/2016
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