ADVENTIST HEALTH SYSTEM/SUNBELT INC. NPI 1841517778

NPI Information

NPI: 1841517778
Provider Name: ADVENTIST HEALTH SYSTEM/SUNBELT, INC.

Doing Business As: ADVENTHEALTH CENTRA CARE - COLONIAL TOWN

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 10D2005018

Address:
630 NORTH BUMBY AVE.
ORLANDO, FL
ZIP 32803
Phone: (407) 896-1014
Get Directions

ADVENTIST HEALTH SYSTEM/SUNBELT, INC. is an urgent care clinic center in Orlando, FL. ADVENTIST HEALTH SYSTEM/SUNBELT, INC. NPI is 1841517778. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Adventhealth Centra Care - Colonial Town.

The provider's business location address is:

630 NORTH BUMBY AVE.
ORLANDO, FL
ZIP 32803
Phone: (407) 896-1014
Fax: (407) 200-1365

The provider's authorized official is Scott C. Brady .
The authorized official title is President/ceo and has the following contact phone number (407) 200-2300.

The CLIA number assigned to this NPI record is 10D2005018 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2010 and was last updated on 4/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				No
2	208000000X	Pediatrics				No
3	332900000X	Non-Pharmacy Dispensing Site		OS 9907	FLORIDA	No
4	363A00000X	Physician Assistant				No
5	363LF0000X	Nurse Practitioner	Family			No
6	261QU0200X	Clinic/Center	Urgent Care		FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	013961709	MEDICAID	FLORIDA
2	B90AZ	OTHER	FLORIDA	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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