Adventist Health System/Sunbelt, Inc
Organization Active NPI Family Medicine Physician · Winter Haven, FL
NPI 1114737657 · NPPES record last updated Jul 17, 2026
Key facts
- NPI
- 1114737657
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ADVENTIST HEALTH SYSTEM/SUNBELT, INC
- Practice address
- 7385 Cypress Gardens Blvd SE
Winter Haven, FL 33884 - Phone
- (863) 852-2553
- Fax
- (863) 852-2553
- NPI assigned
- Jan 8, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVENTIST HEALTH SYSTEM/SUNBELT, INC
Authorized official
- Name
- Jessica Baird-Wertman
- Title
- Ceo
- Phone
- (407) 200-2300
Other NPIs on the same Medicare enrollment 35
Corporate family (same tax ID) 41
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2318704 | Adventhealth Primary Care+Winter Haven | Certificate of waiver | Feb 16, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100903000981 | FL | Part B Supplier - Clinic/Group Practice | 3274657721 |
Receives reassigned benefits from 115 practitioners 35 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wesley Chapel, FL; Palm Coast, FL; Palm Harbor, FL; Port Orange, FL; Saint Cloud, FL; Oviedo, FL; Sanford, FL; Spring Hill, FL… |
National Provider Directory
- Tax ID family
- Adventist Health Systemsunbelt Inc
- Part of
- Adventist Health Systemsunbelt Inc
Locations
7385 Cypress GDNS Blvd SE
Winter Haven, FL 33884
Phone (863) 852-2551
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Pediatrics Physician |
208000000X | |||
| Physician Assistant |
363A00000X | |||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
7385 Cypress Gardens Blvd SE
Winter Haven, FL 33884
Mailing address
2600 Westhall LN Ste 300
Maitland, FL 32751-7107
Phone (407) 200-2300
Other names
- AdventHealth Total Health Management DBA AdventHealth Primary Care Plus Winter Haven
Other providers in Winter Haven, FL
- Adventhealth Bond Clinic, Inc.
- Adventhealth Bond Clinic, Inc.
- Adventhealth Bond Clinic, Inc.
- Adventhealth Polk North Inc
- Adventist Health System /Sunbelt, Inc.
- Affordable Dentures & Implants - Winter Haven II, P.a.
- Amarilis Aguilera
- Stephanie Ahlgren
- Syed Waseemuddin Ahmed MD
- Tanzila Ahsan
All providers in Winter Haven, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.