OrganizationActive
Healthstat Wellness Polk County Gvt
NPI 1164979274 · Preventive Medicine/Occupational Environmental Medicine Physician · Bartow, FL
Provider details
- NPI number
- 1164979274
- 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
2010 E Georgia St
Suite Hs
Bartow, FL 33830-6709
Phone: (704) 529-6161
Approximate (ZIP-level) locationGet directions
Mailing address
4651 Charlotte Park Dr
Charlotte, NC 28217-1956
Registry dates
- Enumerated
- 2016-09-07
- Last updated
- 2020-07-28
- Certified
- 2020-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.