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HEALTHSTAT WELLNESS-PCSB HAINES DISPENSING
NPI 1013633015
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Haines City, FL

Active since October 12, 2022
631B US HIGHWAY 17 92 W, HAINES CITY, FL 33844(705) 661-1380 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Healthstat Wellness-pcsb Haines Dispensing NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHSTAT WELLNESS-PCSB HAINES DISPENSING (NPI 1013633015) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Haines City, Florida and active in the NPI registry since October 2022. The organization lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1013633015
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameHEALTHSTAT WELLNESS-PCSB HAINES DISPENSING
Location Address631B US HIGHWAY 17 92 WHaines City, FL 33844-5047
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone(705) 661-1380
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateOctober 12, 2022
NPPES CertifiedOctober 6, 2022
✔ NPI 1013633015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Definition

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

631B US HIGHWAY 17 92 W, Haines City, FL 33844
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALTHSTAT WELLNESS-POLK HAINES
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
631B US HIGHWAY 17 92 W
HAINES CITY, FL 33844
Polk County (863) 519-3858

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthstat Wellness-Pcsb Haines Dispensing's NPI number?

The NPI number for Healthstat Wellness-Pcsb Haines Dispensing is 1013633015. It was assigned to this organization in the NPPES registry on October 12, 2022.

Where is Healthstat Wellness-Pcsb Haines Dispensing located?

Healthstat Wellness-Pcsb Haines Dispensing is located at 631B Us Highway 17 92 W, Haines City, FL 33844. The listed phone number is (705) 661-1380.

What is Healthstat Wellness-Pcsb Haines Dispensing's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

When was this NPI record last updated?

The NPPES record for Healthstat Wellness-Pcsb Haines Dispensing was last updated on October 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.