Healthcare Provider Details

I. General information

NPI: 1659245884
Provider Name (Legal Business Name): ADVENTIST HEALTH SYSTEM -SUNBELT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 N HANCOCK RD
MINNEOLA FL
34715-8184
US

IV. Provider business mailing address

PO BOX 540419
ORLANDO FL
32854-0419
US

V. Phone/Fax

Practice location:
  • Phone: 407-614-0650
  • 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
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

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