Organization · NPI-2

Adventist Health System/Sunbelt, INC

Family Medicine · Tampa, FL

NPI number1649957069
StatusActive
Last updated in NPPESJun 29, 2023

Details

NPI
1649957069
Entity type
Organization (NPI-2)
Legal business name
Adventist Health System/Sunbelt, INC
Organization subpart
Yes
Enumeration date
Jun 28, 2023
Certification date
Jun 29, 2023
Last updated
Jun 29, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
363A00000X Physician Assistant––
363LF0000X Nurse Practitioner, Family––

Other names

  • Adventhealth Primary Care Plus At Walgreens - W. Hillsborough (Doing Business As)
  • Adventhealth Total Health Management (Doing Business As)

Practice location

8706 W Hillsborough Ave
Tampa, FL 33615-3705

Phone 844-397-0018

Mailing address

2600 Westhall Ln Ste 300
Maitland, FL 32751-7107

Phone 407-200-2300

Authorized official

Scott C Brady
President
4072002300

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