Adventhealth Centra Care Kids Lake Mary
LBN: Adventist Health System/Sunbelt, Inc.
Adventhealth Centra Care Kids Lake Mary is an health care organization with primary practice located at 105 S. Country Club Road , Lake Mary FL 32746. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Urgent Care, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty.
Adventist Health System/Sunbelt, Inc. can be contacted via phone (321) 363-4927, or through Brady, Scott C via phone (407) 200-2300.
Contact Information
Primary practice address
105 S. Country Club Road
Lake Mary FL 32746
Phone: (321) 363-4927
Fax: (321) 363-0672
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | ||
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
NPI number | 1417321118 |
---|---|
LBN Legal business name | Adventist Health System/Sunbelt, Inc. |
DBA Doing business as | Adventhealth Centra Care Kids Lake Mary |
Authorized official | Brady, Scott C Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Nov 18th, 2015 |
Last updated | Apr 20th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417321118 | NPPES |
Florida | Other | 47GJP | BCBS |
Florida | MEDICAID | 013961730 | BCBS |
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