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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DL090B	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275297293
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	:
City	:	MAITLAND
State	:	FL
Zip	:	32751-7102
Country	:	US
Telephone Number	:	407-200-2300
Fax Number	:

Provider Business Practice Location Address
First Line	:	4757 THE GROVE DR STE 132
Second Line	:
City	:	WINDERMERE
State	:	FL
Zip	:	34786-8426
Country	:	US
Telephone Number	:	407-200-2300
Fax Number	:

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

Provider Enumeration Date	:	10/26/2021
Last Update Date	:	04/18/2023

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