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

Healthstat Wellness-Polk Haines

Organization Preventive Medicine/Occupational Environmental Medicine Physician · NPI 1134495245

Healthstat Wellness-Polk Haines is a Preventive Medicine/Occupational Environmental Medicine Physician in Haines City, Florida. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2

Practice location Address checks out

631B US Highway 17 92 W
Haines City, FL 33844-5047
Phone: (863) 519-3858
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
Clinic Pharmacy Taxonomy 3336C0002X

Record details

NPI number1134495245
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jill Patton — Director Of Risk Management · (704) 936-5546
Other names Healthstat On-Site Clinic/Polk County; Healthstat On-Site Clinic/Polk County
NPI enumeratedMarch 23, 2012
Last updated in NPPESJuly 14, 2020
Certification dateJuly 14, 2020
Mailing address4601 Charlotte Park Dr, Suite 390, Charlotte, NC 28217-1915

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