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	207R00000X	Internal Medicine Physician
2	207RT0003X	Transplant Hepatology Physician
3	363AS0400X	Surgical Physician Assistant
4	207RI0008X	Hepatology Physician
5	204F00000X	Transplant Surgery Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0007	OTHER	FL	MEDICARE GROUP NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	74646	OTHER	FL	BLUE CROSS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659439156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVENTIST HEALTH SYSTEM-SUNBELT, INC

Provider Business Mailing Address
First Line	:	2415 N ORANGE AVE
Second Line	:	SUITE 700
City	:	ORLANDO
State	:	FL
Zip	:	32804-5505
Country	:	US
Telephone Number	:	407-330-3247
Fax Number	:	407-303-2478

Provider Business Practice Location Address
First Line	:	2415 N ORANGE AVE
Second Line	:	SUITE 700
City	:	ORLANDO
State	:	FL
Zip	:	32804-5505
Country	:	US
Telephone Number	:	407-330-3247
Fax Number	:	407-303-2478

Authorized Official
Title or Position	:	DIRECTOR
Name	:	HENDERSON PETER
Credential	:
Telephone Number	:	407-200-2227

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	04/28/2016

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Directions to “ADVENTIST HEALTH SYSTEM-SUNBELT, INC ” Practice Location

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