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NPI Code Detail

MEDICARE: ADVENTHEALTH PRIMARY CARE RMR

MEDICARE: ADVENTHEALTH PRIMARY CARE RMR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1568397602
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVENTHEALTH PRIMARY CARE RMR
Provider Business Mailing Address
First Line : 2600 WESTHALL LN STE 300
Second Line :
City : MAITLAND
State : FL
Zip : 32751-7107
Country : US
Telephone Number : 407-200-2300
Fax Number :
Provider Business Practice Location Address
First Line : 5351 S ROSLYN ST STE 200
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-2132
Country : US
Telephone Number : 303-770-6500
Fax Number :
Authorized Official
Title or Position : CFO
Name : DESTIN HARCUS
Credential :
Telephone Number : 407-357-1243
Provider Enumeration Date : 06/17/2026
Last Update Date : 06/17/2026

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Directions to “ADVENTHEALTH PRIMARY CARE RMR ” Practice Location

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