Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Healthstat Wellness-Pcsb Haines Dispensing

Organization Preventive Medicine/Occupational Environmental Medicine Physician · NPI 1013633015

Healthstat Wellness-Pcsb Haines Dispensing is a Preventive Medicine/Occupational Environmental Medicine Physician in Haines City, Florida. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

631B US Highway 17 92 W
Haines City, FL 33844-5047
Phone: (705) 661-1380
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preventive Medicine/Occupational Environmental Medicine Physician (primary) Taxonomy 2083P0500X

Record details

NPI number1013633015
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jill Patton — Director Of Risk Management · (704) 936-5546
NPI enumeratedOctober 12, 2022
Last updated in NPPESOctober 12, 2022
Certification dateOctober 6, 2022
Mailing address4651 Charlotte Park Dr Ste 300, Charlotte, NC 28217-1916

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