NPI 1134495245

Healthstat Wellness-Polk Haines

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: (863) 519-3858
Mailing address: 4601 Charlotte Park Dr Suite 390, Charlotte, NC 28217-1915

Authorised official

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

Registered specialties (2)

Preventive Medicine/Occupational Environmental Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0500X

Other Preventive Medicine providers in Florida →

Clinic Pharmacy

Suppliers Taxonomy 3336C0002X

Other Pharmacy providers in Florida →

Registry record

NPI: 1134495245
Entity type: Organization
NPI issued: 23 Mar 2012
Record last updated: 14 Jul 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.