Organization · Type 2 NPI

Adventist Health System/sunbelt, Inc.

Urgent Care Clinic/Center · Kennedy Space Center, FL

NPI number 1801657614 Active

Practice location

Mailcode Dnps State Rd 405
Kennedy Space Center, FL 32899-0001

Call (407) 200-2300 Map

Mailing address

2600 Westhall Ln Ste 300
Maitland, FL 32751-7107

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
Physician Assistant	363A00000X	None listed
Family Nurse Practitioner	363LF0000X	None listed

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

NPI record

NPI: 1801657614
Entity type: Organization (Type 2)
Issued: Jan 18, 2024
Last updated: Apr 15, 2024
Status: Active
Subpart: Yes of Adventist Health System /sunbelt, Inc.

Other names

<unavail>
Kennedy Space Center Visitor Complex First Aid Station · doing business as

Authorized official

Scott C Brady, MD
President
(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.

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About NPI 1801657614

Adventist Health System/sunbelt, Inc.'s National Provider Identifier is 1801657614, issued on Jan 18, 2024. The primary taxonomy on file is Urgent Care Clinic/Center (261QU0200X), and the practice location is in Kennedy Space Center, FL. The record was last updated on Apr 15, 2024.