Adventhealth Centra Care - Port Orange
LBN: Adventist Health System/Sunbelt, Inc.
Adventhealth Centra Care - Port Orange is an health care organization with primary practice located at 1208 Dunlawton Ave , Port Orange FL 32127. 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 (386) 304-7320, or through Brady, Scott C. via phone (407) 200-2300.
Contact Information
Primary practice address
1208 Dunlawton Ave
Port Orange FL 32127
Phone: (386) 304-7320
Fax: (386) 304-7374
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 | 261QU0200X | |
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | Florida | |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1982015913 |
|---|---|
| LBN Legal business name | Adventist Health System/Sunbelt, Inc. |
| DBA Doing business as | Adventhealth Centra Care - Port Orange |
| Authorized official | Brady, Scott C. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 13th, 2014 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982015913 | NPPES |
| Florida | MEDICAID | 013961711 | |
| Florida | Other | B90NU |
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