Healthcare Provider Details
I. General information
NPI: 1801059985
Provider Name (Legal Business Name): ADVENTIST HEALTH SYSTEM/ SUNBELT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/08/2008
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8014 CONROY-WINDERMERE ROAD SUITE 104
ORLANDO FL
32835
US
IV. Provider business mailing address
2600 WESTHALL LANE, BOX 300
MAITLAND FL
32751
US
V. Phone/Fax
- Phone: 407-291-9960
- Fax: 407-296-5220
- Phone: 407-200-2300
- Fax: 407-200-1365
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332900000X |
| Taxonomy | Non-Pharmacy Dispensing Site |
| License Number | ME 57207 |
| License Number State | FL |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | FL |
VIII. Authorized Official
Name: DR.
MATTHEW
BRICE
Title or Position: VP/CFO
Credential:
Phone: 407-200-2300