Adventist Health System/Sunbelt, INC.
Family Medicine in Lake Mary, FL. Organization (NPI-2).
NPI number1245729862
StatusActive
Last updated in NPPESApr 20, 2020
Details
- NPI
- 1245729862
- Entity type
- Organization (NPI-2)
- Legal business name
- Adventist Health System/Sunbelt, INC.
- Organization subpart
- Yes
- Enumeration date
- May 9, 2018
- Certification date
- Apr 20, 2020
- Last updated
- Apr 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | FL | Yes |
Other names
- Advent Health Total Health Management - Lake Mary (Doing Business As)
Practice location
2948 West Lake Mary BlvdLake Mary, FL 32746
Phone 407-200-2300 · Fax 407-200-1353
Mailing address
2600 Westhall Ln Ste 300Maitland, FL 32751-7107
Phone 407-200-2300
Authorized official
Scott C. Brady
President
4072002300
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