ADVENTIST HEALTH SYSTEM/SUNBELT, INC. (NPI# 1487170684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487170684 |
| Entity Type | Organization |
| Organization Name | ADVENTIST HEALTH SYSTEM/SUNBELT, INC. |
| Other Organization Name | ADVENTHEALTH TOTAL HEALTH MANAGEMENT - WINTER GARDEN VILLAGE |
| Practice Address |
3131 Daniels Rd Ste 106 Winter Garden FL 34787-7013 |
| Mailing Address |
2600 Westhall Ln Ste 300 Maitland FL 32751-7107 |
| Practice Telephone | 4072002300 |
| Mailing Telephone | 4072002300 |
| Mailing Fax Number | 4072001353 |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2020-06-18 |
| Authorized Official Name | SCOTT C BRADY (PRESIDENT) |
| Authorized Official Telephone | 4072002300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVENTIST HEALTH SYSTEM/SUNBELT, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | DL090B | 01 |
| Other Name | Type Code |
|---|---|
| AdventHealth Total Health Management - Winter Garden Village | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3005 Daniels Rd, Winter Garden, FL 347877002 | 4072002300 | 4072001353 |
| 3131 Daniels Rd Ste 106, Winter Garden, FL 347877013 | 4072002300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457912081 | Adventist Health System/sunbelt, Inc. | Family Medicine | 9637 Lake Nona Village Pl, Orlando, FL 32827-7319 | 2019-06-25 |
| 1467916866 | Adventist Health System/sunbelt, Inc. | Family Medicine | 6277 Sea Harbor Dr, Orlando, FL 32821-8043 | 2019-01-30 |
| 1245729862 | Adventist Health System/sunbelt, Inc. | Family Medicine | 2948 West Lake Mary Blvd, Lake Mary, FL 32746 | 2018-05-09 |
| 1578050704 | Adventist Health System/sunbelt, Inc. | Family Medicine | 630 N Bumby Ave, Orlando, FL 32803-4917 | 2018-04-13 |
| 1588198733 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1320 Saxon Blvd, Orange City, FL 32763 | 2017-04-14 |
| 1851825343 | Adventist Health System/sunbelt, Inc. | Family Medicine | 4660 13th St, Saint Cloud, FL 34769-6765 | 2017-04-12 |
| 1083067664 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 6930 Gunn Hwy, Tampa, FL 33625 | 2016-07-19 |
| 1336506732 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 4660 13th Street, St. Cloud, FL 34769 | 2016-01-15 |
| 1417321118 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 105 S. Country Club Road, Lake Mary, FL 32746 | 2015-11-18 |
| 1043604226 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1014 W International Speedway Blvd, Daytona Beach, FL 32114 | 2015-03-25 |
| Street Address |
3131 DANIELS RD STE 106 |
| City | WINTER GARDEN |
| State | FL |
| Zip Code | 34787-7013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366985855 | Eric Vaughn Palmer | Nurse Practitioner | 3131 Daniels Rd Ste 106, Winter Garden, FL 34787-7013 | 2016-12-01 |
| 1043720782 | Laura Catherine Mendoza | Physician Assistant | 3131 Daniels Rd Ste 106, Winter Garden, FL 34787-7013 | 2017-10-09 |
| 1497279947 | Diane Geralyn Vanbuskirk | Occupational Therapist | 3131 Daniels Rd Ste 106, Winter Garden, FL 34787-7013 | 2017-07-26 |
| 1215459425 | Kathryn Lennon | Physical Medicine & Rehabilitation | 3131 Daniels Rd Ste 106, Winter Garden, FL 34787-7013 | 2017-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608736 | Mid-florida Endodontics - Winter Garden Pa | Dentist | 15815 Shaddock Drive, Unit-3, Winter Garden, FL 34787 | 2020-10-30 |
| 1770196131 | Hamlin Eye Care, LLC | Optometrist | 15820 Shaddock Drive, Suite 150, Winter Garden, FL 34787 | 2020-08-26 |
| 1710501879 | Hz Surgery Center LLC | Clinic/Center | 17085 Porter Road, Suite 110, Winter Garden, FL 34787 | 2020-06-04 |
| 1235759416 | Callie Rebecca Alt | Student in an Organized Health Care Education/Training Program | 2200 Fowler Grove Blvd, Suite 220, Winter Garden, FL 34787 | 2020-04-17 |
| 1992345102 | Advn Dental Partners Pa | Dentist | 516 S. Dillard Street, Winter Garden, FL 34787 | 2020-01-15 |
| 1942851225 | Sara Walker | Physical Therapist | 213 S Dillard Street, Suite 320c, Winter Garden, FL 34787 | 2019-09-26 |
| 1801449996 | Tiffani Green | Behavior Technician | 678 W Bay St Apt 52, Winter Garden, FL 34787 | 2019-07-18 |
| 1811461353 | Ricardo Villalobos Pa | Psychiatry & Neurology | 16606 Broadwater Ave, Winter Garden, FL 34787 | 2019-01-17 |
| 1871078089 | Alton Graydon Cumberbatch Sr. | Pharmacist | 646 S. Dillard Street, Winter Garden, FL 34787 | 2018-10-03 |
| 1629551395 | Andrew Petersen | Physical Therapy Assistant | 5204 W. Colonial Drive, Winter Garden, FL 34787 | 2018-09-10 |
| Find all providers in zip 34787 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407473531 | Winter Garden Health and Wellness, LLC | Family Medicine | 15122 Heron Hideaway Cir, Winter Garden, FL 34787-1707 | 2020-07-06 |
| 1710513791 | Sookdeo Family Medicine Pllc | Family Medicine | 14101 W Colonial Dr, Winter Garden, FL 34787-4206 | 2020-03-21 |
| 1407334352 | Express Global Medical Services | Family Medicine | 12200 W Colonial Dr Ste 200a, Winter Garden, FL 34787 | 2018-08-02 |
| 1104359876 | Jennifer Elizabeth Kelley | Family Medicine | 2200 Fowler Grove Blvd Ste 140, Winter Garden, FL 34787-5597 | 2017-04-09 |
| 1417242629 | Kristin Danielle Steffes | Family Medicine | 16106 Marsh Rd, Ste 102, Winter Garden, FL 34787-9182 | 2011-06-15 |
| 1225079494 | David Maury | Family Medicine | 2905 Williams Rd, Winter Garden, FL 34787-9141 | 2006-06-09 |
| 1245203058 | Robert Paul Olson | Family Medicine | 17000 Porter Rd Ste 211, Winter Garden, FL 34787-8915 | 2006-02-10 |
| 1538149562 | Babak Boroujerdi | Family Medicine | 3005 Daniels Rd, Winter Garden, FL 34787-7002 | 2006-01-17 |
| 1144203399 | Nagui N Khouzam | Family Medicine | 54 E Plant St, Winter Garden, FL 34787-3127 | 2005-11-22 |
| 1902376783 | Ines Rutty LLC | Family Medicine | 871 Vineland Rd Ste B, Winter Garden, FL 34787-3938 | 2018-12-05 |
| Find all providers in WINTER GARDEN | ||||
| City | WINTER GARDEN |
| Zip Code | 34787 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.