Provider Demographics
NPI:1568663581
Name:ADVENTIST HEALTH SYSTEM -SUNBELT INC
Entity Type:Organization
Organization Name:ADVENTIST HEALTH SYSTEM -SUNBELT INC
Other - Org Name:CELEBRATION HEALTH ASSESSMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:NOVENDSTERN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-303-4553
Mailing Address - Street 1:400 CELEBRATION PL
Mailing Address - Street 2:SUITE C-200
Mailing Address - City:CELEBRATION
Mailing Address - State:FL
Mailing Address - Zip Code:34747-4970
Mailing Address - Country:US
Mailing Address - Phone:407-303-4553
Mailing Address - Fax:
Practice Address - Street 1:400 CELEBRATION PL
Practice Address - Street 2:
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-4970
Practice Address - Country:US
Practice Address - Phone:407-303-4553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261Q00000X
261QC1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1124119961OtherJAMES RIPPE NPI
FL1750462776OtherSHERRY BROOKS NPI
FL1750462776OtherSHERRY BROOKS NPI