OrganizationActive
Healthstat Wellness Lake County
NPI 1144774969 · Preventive Medicine/Occupational Environmental Medicine Physician · Tavares, FL
Provider details
- NPI number
- 1144774969
- Entity type
- Organization
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jill Patton, Director of Risk Management(704) 936-5546
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1939 Salk Ave
Tavares, FL 32778-4306
Phone: (704) 529-6161
Approximate (ZIP-level) locationGet directions
Mailing address
4651 Charlotte Park Dr
Charlotte, NC 28217-1956
Registry dates
- Enumerated
- 2016-08-10
- Last updated
- 2020-06-23
- Certified
- 2020-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.