Organization
ADVENTIST HEALTH SYSTEM SUNBELT INC
Active
Other names
The Center for Specialized Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
LARS D. HOUMANN (PRESIDENT/CEO)
(407) 303-1531
Entity
Organization
Contact information
Practice address
2415 NORTH ORANGE AVE, SUITE 400, ORLANDO, FL 32804
(407) 303-7399
(407) 303-7305
Mailing address
2415 N. ORANGE AVE, SUITE 400, ORLANDO, FL 32804
(407) 303-7399
(407) 303-7305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274870300
—
FL
01
—
99794
BLUE CROSS
FL
01
—
CA3498
MEDICARE RAILROAD
FL
Enumeration date
10/04/2006
Last updated
07/05/2012
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