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:
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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982015913 NPPES
Florida MEDICAID 013961711
Florida Other B90NU

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