NPIMap

Organization Active NPI

Adventist Health System/Sunbelt, Inc.

Doing business as AdventHealth Centra Care - Leesburg

  • Urgent Care Clinic/Center
  • Leesburg, FL
National Provider Identifier
1386035269
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ADVENTIST HEALTH SYSTEM/SUNBELT, INC.
Doing business as
AdventHealth Centra Care - Leesburg
Practice address
1103 N 14TH Street
Leesburg, FL 34748
Phone
(352) 314-2328
Fax
(352) 314-3058
NPI assigned
Feb 12, 2015
Last updated
Jun 25, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVENTIST HEALTH SYSTEMS SUNBELT HC COAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Matthew Brice
Title
VP/Cfo
Phone
(407) 200-2300

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary
Physician Assistant 363A00000X
Family Nurse Practitioner 363LF0000X
Family Medicine Physician 207Q00000X
Pediatrics Physician 208000000X

Addresses

Primary practice location

1103 N 14TH Street
Leesburg, FL 34748

Mailing address

2600 Westhall Lane Box 300
Maitland, FL 32751
Phone (407) 200-2300

Other identifiers 2

IdentifierTypeStateIssuer
B90R0OtherFLBCBS
013961716MedicaidFL

Other names 1

  • AdventHealth Centra Care - Leesburg Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406001849 FL Part B Supplier - Clinic/Group Practice 6406849256 Receives reassigned benefits from 493 practitioners
44 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 44

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 44

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2092650Adventhealth Centra Care Leesburg1103 N 14TH St, Leesburg, FL 34748Certificate of waiverMar 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Adventist Health System59 organizations share this tax ID, including this one
Part of
Adventist Health System Sunbelt Healthcare Corporation

Organizations with this tax ID in the same state 24

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

View all 24

Locations

1103 N 14th St
Leesburg, FL 34748
Phone (352) 314-2328

Practitioners & affiliated clinicians

Practitioners 1

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": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1386035269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 WESTHALL LANE BOX 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "32751",
            "telephone_number": "407-200-2300",
            "fax_number": "407-200-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 N 14TH STREET",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "34748",
            "telephone_number": "352-314-2328",
            "fax_number": "352-314-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH SYSTEM/SUNBELT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVENTIST HEALTH SYSTEMS SUNBELT HC CO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "BRICE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "407-200-2300"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "B90R0",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013961716",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdventHealth Centra Care - Leesburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.