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Organization

ADVENTIST HEALTH SYSTEM/SUNBELT, INC.

Active
Parent organization
ADVENTIST HEALTH SYSTEM/SUNBELT, INC.
Other names
AdventHealth Centra Care - Colonial Town
Organization subpart
Yes

Provider details

NPI number
Legal business name
ADVENTIST HEALTH SYSTEM/SUNBELT, INC.
Authorized official
DR. SCOTT C. BRADY M.D. (PRESIDENT/CEO)
(407) 200-2300
Entity
Organization

Contact information

Practice address
630 NORTH BUMBY AVE., ORLANDO, FL 32803
(407) 896-1014
(407) 200-1365
Mailing address
2600 WESTHALL LANE BOX 300, MAITLAND, FL 32751
(407) 200-2300
(407) 200-1365

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
208000000X
Pediatrics Physician
261QU0200X
Urgent Care Clinic/Center
Primary
FL
332900000X
Non-Pharmacy Dispensing Site
OS 9907
FL
363A00000X
Physician Assistant
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
013961709
FL
01
B90AZ
BCBS
FL
Enumeration date
05/03/2010
Last updated
04/20/2023
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