NPI 1013633015

Healthstat Wellness-Pcsb Haines Dispensing

Organisation Preventive Medicine/Occupational Environmental Medicine Physician Haines City, FL

Practice location

Address: 631b US Highway 17 92 W, Haines City, FL 33844-5047
Phone: (705) 661-1380
Mailing address: 4651 Charlotte Park Dr STE 300, Charlotte, NC 28217-1916

Authorised official

Name: Jill Johnson Patton
Title: Director of Risk Management
Phone: (704) 936-5546

Registered specialties

Preventive Medicine/Occupational Environmental Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0500X

Other Preventive Medicine providers in Florida →

Registry record

NPI: 1013633015
Entity type: Organization
NPI issued: 12 Oct 2022
Record last updated: 12 Oct 2022

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.