Organization
ADVENTIST HEALTH SYSTEM/SUNBELT INC.
Active
Parent organization
ADVENTIST HEALTH SYSTEM/SUNBELT, INC.
Other names
AdventHealth Centra Care - Palm Coast
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVENTIST HEALTH SYSTEM/SUNBELT, INC.
Authorized official
DR. SCOTT C BRADY MD (PRESIDENT)
(407) 200-2300
Entity
Organization
Contact information
Practice address
1270 PALM COAST PARKWAY NW, PALM COAST, FL 32137
(407) 200-2300
(407) 200-1353
Mailing address
2600 WESTHALL LN, BOX 300, MAITLAND, FL 32751-7102
(407) 200-2300
(407) 200-1353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013961731
—
FL
01
—
OF6KI
BCBS
FL
Enumeration date
10/29/2015
Last updated
04/20/2023
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