Healthcare Provider Details

I. General information

NPI: 1073443305
Provider Name (Legal Business Name): ADVENTIST HEALTH SYSTEM/SUNBELT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1909 E HWY 50
CLERMONT FL
34711-1921
US

IV. Provider business mailing address

2911 WINDHAM DR
EUSTIS FL
32726-7145
US

V. Phone/Fax

Practice location:
  • Phone: 407-609-7209
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: KELLY HARTSFIELD
Title or Position: QUALITY COMPLIANCE COORDINATOR
Credential:
Phone: 321-689-6300