NPIMap

Organization Active NPI

Adventist Health Systems Sunbelt

Doing business as Florida Hospital Centra Care - Formosa

  • Non-Pharmacy Dispensing Site
  • Kissimmee, FL
National Provider Identifier
1194910414
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
ME 38110 Issued in FL
Legal business name
ADVENTIST HEALTH SYSTEMS SUNBELT
Doing business as
Florida Hospital Centra Care - Formosa
Practice address
7848 W Irlo Bronson Hwy
Kissimmee, FL 34747-1729
Phone
(407) 397-7032
Fax
(407) 397-7041
NPI assigned
Sep 10, 2007
Last updated
Feb 5, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVENTIST HEALTH SYSTEMS SUNBELTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Scott C. Brady, M.D.NPI 1942232566
Title
President
Phone
(407) 200-2860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X ME 38110 FL Primary

Addresses

Primary practice location

7848 W Irlo Bronson Hwy
Kissimmee, FL 34747-1729

Mailing address

901 N Lake Destiny Rd
Suite 400
Maitland, FL 32751-4844
Phone (407) 200-2860

Other names 1

  • Florida Hospital Centra Care - Formosa Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fla Hosp Centra Care59 organizations share this tax ID, including this one
Part of
Fla Hosp Centra Care

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

Locations

7848 W Irlo Bronson Memorial Hwy
Kissimmee, FL 34747
Phone (407) 397-7032

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1194910414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N LAKE DESTINY RD",
            "address_2": "SUITE 400",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514844",
            "telephone_number": "407-200-2860",
            "fax_number": "407-200-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7848 W IRLO BRONSON HWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347471729",
            "telephone_number": "407-397-7032",
            "fax_number": "407-397-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH SYSTEMS SUNBELT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVENTIST HEALTH SYSTEMS SUNBELT",
        "enumeration_date": "2007-09-10",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-200-2860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME 38110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Hospital Centra Care - Formosa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.