OrganizationActive
Healthstat Wellness-Pcsb Haines Dispensing
NPI 1013633015 · Preventive Medicine/Occupational Environmental Medicine Physician · Haines City, FL
Provider details
- NPI number
- 1013633015
- Entity type
- Organization
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jill Patton, Director of Risk Management
Practice location
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
Registry dates
- Enumerated
- 2022-10-12
- Last updated
- 2022-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.