Healthcare Provider Details

I. General information

NPI: 1396046637
Provider Name (Legal Business Name): ADVENTIST HEALTH SYSTEM-SUNBELT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2010
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 CARLTON ST
WAUCHULA FL
33873-3407
US

IV. Provider business mailing address

4200 SUN N LAKE BLVD
SEBRING FL
33872-1986
US

V. Phone/Fax

Practice location:
  • Phone: 863-773-6606
  • Fax: 863-773-9542
Mailing address:
  • Phone: 863-402-3366
  • Fax: 863-402-3110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4239
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number4239
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number4239
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number4239
License Number StateFL

VIII. Authorized Official

Name: JASON DUNKEL
Title or Position: CEO
Credential:
Phone: 727-942-5002