Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adventist Health System/Sunbelt, Inc

Organization Family Medicine Physician · NPI 1417321118

Adventist Health System/Sunbelt, Inc is a Family Medicine Physician in Lake Mary, Florida. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

105 S Country Club Rd
Lake Mary, FL 32746
Phone: (321) 363-4927
Fax: (321) 363-0672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urgent Care Clinic/Center (primary) Taxonomy 261QU0200X
Family Medicine Physician Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X
Physician Assistant Taxonomy 363A00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1417321118
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAdventist Health Systems Sunbelt Hc Co
Authorized official Matthew Brice — Vp/Cfo · (407) 200-2300
Other names Adventhealth Centra Care Kids Lake Mary
NPI enumeratedNovember 18, 2015
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026
Mailing address2600 Westhall Ln Box 300, Maitland, FL 32751

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