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:
Map and Directions
Authorized official contact:
Name: Brady, Scott C Doctor of Medicine (MD)
Phone: (407) 200-2300

Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417321118 NPPES
Florida Other 47GJP BCBS
Florida MEDICAID 013961730 BCBS

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