Organization · Type 2 NPI

Adventist Health System/sunbelt Inc.

Family Medicine Physician · Wildwood, FL

NPI number 1609706951 Active

Practice location

5125 Sundance Trail
Wildwood, FL 34785

Fax (352) 643-6573

Mailing address

2600 Westhall Ln
Maitland, FL 32751-7102

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Pediatrics Physician 208000000XNone listed
Urgent Care Clinic/Center 261QU0200XNone listed
Physician Assistant 363A00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1609706951

Adventist Health System/sunbelt Inc.'s National Provider Identifier is 1609706951, issued on May 20, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Wildwood, FL. The record was last updated on Jul 17, 2026.