| NPI | 1396605440 |
|---|---|
| Doing Business As | ADVENTHEALTH CENTRA CARE - SOUTHERN TRACE |
| Entity Type | Organization |
| Authorized Contact | SCOTT C BRADY President 407-200-2300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 208000000X Pediatrics |
| 207Q00000X Family Medicine | |
| 363LF0000X Nurse Practitioner, Family | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2025-11-12 |
| Last Update Date | 2025-11-25 |