NPI | 1770770562 |
---|---|
Doing Business As | FLORIDA HOSPITAL CENTRA CARE - LEE ROAD |
Doing Business As | ADVENTHEALTH CENTRA CARE - LEE ROAD |
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 40427) | |
363A00000X Physician Assistant | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2007-09-26 |
Last Update Date | 2023-04-20 |