Healthcare Provider Details

I. General information

NPI: 1275297293
Provider Name (Legal Business Name): ADVENTIST HEALTH SYSTEM/SUNBELT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2021
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4757 THE GROVE DR STE 132
WINDERMERE FL
34786-8426
US

IV. Provider business mailing address

2600 WESTHALL LN
MAITLAND FL
32751-7102
US

V. Phone/Fax

Practice location:
  • Phone: 407-200-2300
  • Fax:
Mailing address:
  • Phone: 407-200-2300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. JESSICA BAIRD-WERTMAN
Title or Position: CEO
Credential:
Phone: 407-200-2300