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	License Number	License Number State
1	208000000X	Pediatrics Physician
2	363LF0000X	Family Nurse Practitioner
3	207Q00000X	Family Medicine Physician
4	363A00000X	Physician Assistant
5	332900000X	Non-Pharmacy Dispensing Site	OS 9307	FL
6	261QU0200X	Urgent Care Clinic/Center		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	B900P	OTHER	FL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972798296
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVENTIST HEALTH SYSTEM/SUNBELT, INC

Provider Business Mailing Address
First Line	:	2600 WESTHALL LANE, BOX 300
Second Line	:
City	:	MAITLAND
State	:	FL
Zip	:	32751
Country	:	US
Telephone Number	:	407-200-2300
Fax Number	:	407-200-1365

Provider Business Practice Location Address
First Line	:	4320 W. VINE STREET
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34746
Country	:	US
Telephone Number	:	407-390-1888
Fax Number	:	407-390-1880

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

Provider Enumeration Date	:	09/10/2007
Last Update Date	:	06/25/2026

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

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