Adventist Health System/Sunbelt, Inc.
Organization Active NPI Family Medicine Physician · Lake Mary, FL
NPI 1245729862 · NPPES record last updated Apr 20, 2020
Key facts
- NPI
- 1245729862
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ADVENTIST HEALTH SYSTEM/SUNBELT, INC.
- Practice address
- 2948 West Lake Mary Blvd
Lake Mary, FL 32746 - Phone
- (407) 200-2300
- Fax
- (407) 200-1353
- NPI assigned
- May 9, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVENTIST HEALTH SYSTEM/SUNBELT, INC.
Authorized official
- Name
- Scott C. Brady, MD
- Title
- President
- Phone
- (407) 200-2300
Corporate family (same tax ID) 41
National Provider Directory
- Tax ID family
- Adventist Health Systemsunbelt Inc
- Part of
- Adventist Health Systemsunbelt Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | FL | Yes |
Addresses
Primary practice location
2948 West Lake Mary Blvd
Lake Mary, FL 32746
Mailing address
2600 Westhall LN Ste 300
Maitland, FL 32751-7107
Phone (407) 200-2300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DL090B | Other | FL | MEDICARE |
Other names
- Advent Health Total Health Management - Lake Mary
Other providers in Lake Mary, FL
- Advanced Pelvic Health Solutions LLC.
- Advantage Care Solutions Inc
- Adventist Health System-Sunbelt, Inc
- Adventist Health System/Sunbelt Inc.
- Adventist Health System/Sunbelt, Inc
- Adventist Health System/Sunbelt, Inc.
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All providers in Lake Mary, 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 Apr 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.