OrganizationActive
Healthstat Wellness-Polk Haines
NPI 1134495245 · Preventive Medicine/Occupational Environmental Medicine Physician · Haines City, FL
Provider details
- NPI number
- 1134495245
- 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: (863) 519-3858
Mailing address
4601 Charlotte Park Dr
Charlotte, NC 28217-1915
Registry dates
- Enumerated
- 2012-03-23
- Last updated
- 2020-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.