| NPI | 1417321118 |
|---|---|
| Doing Business As | ADVENTHEALTH CENTRA CARE KIDS LAKE MARY |
| 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 |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| 208000000X Pediatrics | |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2023-04-20 |