Organization
ADVENTIST HEALTH SYSTEM SUNBELT INC
Active
Other names
Centre for Family Medicine at Florida Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DARYL TOL (PRESIDENT/CEO)
(407) 303-1531
Entity
Organization
Contact information
Practice address
133 BENMORE DR., SUITE 200, WINTER PARK, FL 32792-4143
(407) 646-7070
(407) 646-7747
Mailing address
133 BENMORE DR., SUITE 200, WINTER PARK, FL 32792-4143
(407) 646-7070
(407) 646-7747
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022549
AETNA POS EPO HMO
FL
05
—
037458000
—
FL
01
—
4437557
AETNA PPO
FL
01
—
99794
BLUE CROSS
FL
01
—
CA 3498
MEDICARE RAILROAD
FL
01
—
FHCO
FHHS
FL
Enumeration date
10/02/2006
Last updated
05/04/2016
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