MEDICARE: ADVENTIST HEALTH SYSTEM/SUNBELT, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	208000000X	Pediatrics Physician
2	363A00000X	Physician Assistant
3	363LF0000X	Family Nurse Practitioner
4	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1043001639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVENTIST HEALTH SYSTEM/SUNBELT, INC

Provider Business Mailing Address
First Line	:	2600 WESTHALL LN STE 300
Second Line	:
City	:	MAITLAND
State	:	FL
Zip	:	32751-7107
Country	:	US
Telephone Number	:	407-200-2300
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 S WOODLAND BLVD STE 106
Second Line	:
City	:	DELAND
State	:	FL
Zip	:	32720-5463
Country	:	US
Telephone Number	:	407-200-2300
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SCOTT BRADY
Credential	:	MD
Telephone Number	:	407-200-2300

Provider Enumeration Date	:	05/14/2025
Last Update Date	:	05/14/2025

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