AdventHealth Centra Care - Mount Dora – Urgent Care Clinic/Center, NPI 1043514656

AdventHealth Centra Care - Mount Dora is a healthcare provider. based in Maitland, Florida. specializing in Urgent Care Clinic/Center. The organization holds a License No. ME 57207 (FL). The NPI Number for AdventHealth Centra Care - Mount Dora is 1043514656

Main info

Organization
Name
AdventHealth Centra Care - Mount Dora
NPI
1043514656
Phone
(407) 200-2300
Address
2600 WESTHALL LANE, BOX 300
Authorized Official
SCOTT C. BRADY PRESIDENT/CEO M.D.
Enumeration Date
23 December 2010
Last Update Date
20 April 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:15State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for AdventHealth Centra Care - Mount Dora

  • 2600 WESTHALL LANE, BOX 300

    MAITLAND, FL 32751

    Phone: (407) 200-2300

    Fax: (407) 200-1365

    Type: Mailing

  • 19015 U.S. HIGHWAY 441

    MOUNT DORA, FL 32757

    Phone: (352) 383-3484

    Fax: (352) 735-0517

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-08-31 (645 days ago).

Enrollment records

1

Earliest due date

2024-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040406001849OClinic/Group PracticeFL2024-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32751)

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Reviews

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Frequently asked questions

What is the standard ID for AdventHealth Centra Care - Mount Dora in the U.S.?
In the U.S., AdventHealth Centra Care - Mount Dora is identified by NPI 1043514656.
Is AdventHealth Centra Care - Mount Dora currently accepting referrals based on NPI status?
Registry metadata lists AdventHealth Centra Care - Mount Dora as active.
How should patients interpret AdventHealth Centra Care - Mount Dora's specialty?
The extract shows Urgent Care Clinic/Center for AdventHealth Centra Care - Mount Dora. Clinical services aligned with this taxonomy classification.
What city is tied to AdventHealth Centra Care - Mount Dora?
The directory associates AdventHealth Centra Care - Mount Dora with Maitland, Florida. Check all listed addresses for suites or satellite offices.
Can I export AdventHealth Centra Care - Mount Dora's record?
You can download the official NPPES record; we summarize key fields for readability.

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