NPI 1003219940
Healthstat Wellness Pasco Dade
Practice location
- Address
- 36739 State Road 52 Suite 104, Dade City, FL 33525-5101
- Phone
- (704) 529-6161
- Mailing address
- 4651 Charlotte Park Dr Suite 300, Charlotte, NC 28217-1956
Authorised official
- Name
- Jill Johnson Patton
- Title
- Director of Risk Management
- Phone
- (704) 936-5546
Registered specialties
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
Registry record
- NPI
- 1003219940
- Entity type
- Organization
- NPI issued
- 7 Oct 2014
- Record last updated
- 17 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.