Organization · NPI-2
Adventist Health System/Sunbelt, INC.
Family Medicine · Lakeland, FL
NPI number1467916866
StatusActive
Last updated in NPPESJul 17, 2026
Details
- NPI
- 1467916866
- Entity type
- Organization (NPI-2)
- Legal business name
- Adventist Health System/Sunbelt, INC.
- Organization subpart
- Yes
- Enumeration date
- Jan 30, 2019
- Certification date
- Jul 17, 2026
- Last updated
- Jul 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 208000000X | Pediatrics | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Other names
- Adventhealth Primary Care Plus S. Lakeland (Doing Business As)
Practice location
6419 S Florida Ave Ste 109Lakeland, FL 33813-3353
Phone 407-200-2300
Mailing address
2600 Westhall Ln Ste 300Maitland, FL 32751-7107
Phone 407-200-2300
Authorized official
Jessica Baird-Wertman
Ceo
4072002300
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