Organization · Type 2 NPI

Adventist Health System/sunbelt, Inc.

Urgent Care Clinic/Center · Mount Dora, FL

NPI number 1043514656 Active

Practice location

19015 U.s. Highway 441
Mount Dora, FL 32757

Call (352) 383-3484 Map

Fax (352) 735-0517

Mailing address

2600 Westhall Lane, Box 300
Maitland, FL 32751

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Pediatrics Physician	208000000X	None listed
Urgent Care Clinic/Center Primary	261QU0200X	None listed
Non-Pharmacy Dispensing Site	332900000X	ME 57207 (FL)
Physician Assistant	363A00000X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Urgent Care Clinic/Center: Definition to come...

Another provider at this address

Randy David Willis, DOFamily Medicine Physician Mount Dora, FL NPI 1689885550

Other urgent care clinic/center providers in Mount Dora

Avecina Medical, PAUrgent Care Clinic/Center Mount Dora, FL NPI 1548137490

See all in Mount Dora →

NPI record

NPI: 1043514656
Entity type: Organization (Type 2)
Issued: Dec 23, 2010
Last updated: Jun 25, 2026
Status: Active
Subpart: Yes of Adventist Health System/sunbelt, Inc.

Other names

<unavail>
Adventhealth Centra Care - Mount Dora · doing business as

Authorized official

Matthew Brice
VP/cfo
(407) 200-2300

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1043514656

Adventist Health System/sunbelt, Inc.'s National Provider Identifier is 1043514656, issued on Dec 23, 2010. The primary taxonomy on file is Urgent Care Clinic/Center (261QU0200X), and the practice location is in Mount Dora, FL. The record was last updated on Jun 25, 2026.