| NPI | 1497940720 |
|---|---|
| Doing Business As | ADVENTHEALTH CENTRA CARE - LBVII |
| Entity Type | Organization |
| Authorized Contact | SCOTT C BRADY President 407-200-2860 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL OS 8766) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2023-04-17 |