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	363A00000X	Physician Assistant
2	208000000X	Pediatrics Physician
3	363LF0000X	Family Nurse Practitioner
4	207Q00000X	Family Medicine Physician
5	261QU0200X	Urgent Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	B90QJ	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194123349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVENTIST HEALTH SYSTEM/SUNBELT, INC.

Provider Business Mailing Address
First Line	:	2600 WESTHALL LN
Second Line	:	BOX 300
City	:	MAITLAND
State	:	FL
Zip	:	32751-7102
Country	:	US
Telephone Number	:	407-200-2807
Fax Number	:	407-200-1353

Provider Business Practice Location Address
First Line	:	4001 W LINEBAUGH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-5236
Country	:	US
Telephone Number	:	407-200-2300
Fax Number	:	407-200-1365

Authorized Official
Title or Position	:	VP/CFO
Name	:	MATTHEW BRICE
Credential	:
Telephone Number	:	407-200-2300

Provider Enumeration Date	:	12/19/2014
Last Update Date	:	06/25/2026

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