Healthstat Wellness Pcsb-Lakeland Dispensing
Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine in Lakeland, FL. Organization (NPI-2).
NPI number1003532011
StatusActive
Last updated in NPPESOct 12, 2022
Details
- NPI
- 1003532011
- Entity type
- Organization (NPI-2)
- Legal business name
- Healthstat Wellness Pcsb-Lakeland Dispensing
- Organization subpart
- No
- Enumeration date
- Oct 12, 2022
- Certification date
- Oct 6, 2022
- Last updated
- Oct 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083P0500X | Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | – | – | Yes |
Practice location
3215 Winter Lake RdLakeland, FL 33803-9709
Phone 704-529-6161
Mailing address
4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone 704-936-5546
Authorized official
Jill Johnson Patton
Director Of Risk Management
7049365546
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