Healthcare Provider Details

I. General information

NPI: 1003547688
Provider Name (Legal Business Name): ADVENTIST HEALTH SYSTEM /SUNBELT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2022
Last Update Date: 04/20/2023
Certification Date: 04/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2325 W FAIRBANKS AVE STE 2
WINTER PARK FL
32789-4511
US

IV. Provider business mailing address

2600 WESTHALL LN STE 300
MAITLAND FL
32751-7107
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 TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SCOTT C BRADY
Title or Position: PRESIDENT
Credential: MD
Phone: 407-200-2300