| NPI | 1043514656 |
|---|---|
| Doing Business As | ADVENTHEALTH CENTRA CARE - MOUNT DORA |
| Entity Type | Organization |
| Authorized Contact | SCOTT C. BRADY President/CEO 407-200-2300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| 332900000X Non-Pharmacy Dispensing Site (Licence: FL ME 57207) | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2023-04-20 |