NPIMap

Adventist Health System/Sunbelt, Inc

Organization Active NPI Urgent Care Clinic/Center · Kissimmee, FL

NPI 1972798296 · NPPES record last updated Jul 10, 2026

Key facts

NPI
1972798296
Entity type
Organization (NPI type 2)
Primary specialty
Urgent Care Clinic/Center 261QU0200X
Legal business name
ADVENTIST HEALTH SYSTEM/SUNBELT, INC
Practice address
4320 W. Vine Street
Kissimmee, FL 34746
Phone
(407) 390-1888
Fax
(407) 390-1880
NPI assigned
Sep 10, 2007
Organization subpart
Yes
Parent organization (as reported)
ADVENTIST HEALTH SYSTEM/SUNBELT, INC

Authorized official

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

Other NPIs on the same Medicare enrollment 44

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

View all 44

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0914467Adventhealth Centra Care Kissimmee
4320 W Vine St, Kissimmee, FL 34746		Certificate of waiverApr 29, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

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

National Provider Directory

Tax ID family
Florida Hopsital Centra (59 organizations share this tax ID)
Part of
Florida Hopsital Centra

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208000000X
Urgent Care Clinic/Center 261QU0200X FL Yes
Non-Pharmacy Dispensing Site 332900000X OS 9307 FL
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP		 363A00000X
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LF0000X

Addresses

Primary practice location

4320 W. Vine Street
Kissimmee, FL 34746

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
013961729MedicaidFL
B900POtherFLBCBS

Other names

  • AdventHealth Centra Care - Kissimmee Doing business as

Other providers in Kissimmee, FL

All providers in Kissimmee, FL · Urgent Care Clinic/Center in Florida

Sources for this page

Verify at the official NPI Registry.