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ADVENTIST HEALTH SYSTEM/SUNBELT INC NPI 1083359061


NPI Information

NPI: 1083359061
Provider Name: ADVENTIST HEALTH SYSTEM/SUNBELT, INC

Doing Business As: ADVENTHEALTH TOTAL HEALTH MANAGEMENT /ADVENTHEALTH PRIMARY CARE PLUS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2277648

Address:
5821 S. WILLIAMSON BLVD
SUITE 205
PORT ORANGE, FL
ZIP 32128
Phone: (407) 200-2300
Get Directions

ADVENTIST HEALTH SYSTEM/SUNBELT, INC is a family medicine in Port Orange, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ADVENTIST HEALTH SYSTEM/SUNBELT, INC NPI is 1083359061. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Adventhealth Total Health Management /adventhealth Primary Care Plus.

The provider's business location address is:

5821 S. WILLIAMSON BLVD
SUITE 205
PORT ORANGE, FL
ZIP 32128
Phone: (407) 200-2300

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

The CLIA number assigned to this NPI record is 10D2277648 - other - primary care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2022 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
1208000000XPediatricsNo
2363A00000XPhysician AssistantNo
3363LF0000XNurse PractitionerFamilyNo
4207Q00000XFamily MedicineYes

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
1DL090BOTHERFLORIDAMEDICARE
2111754211MEDICAIDFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.