HEALTHSTAT WELLNESS POLK-LAKELAND – NPI #1093187429
Preventive Medicine

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

HEALTHSTAT WELLNESS POLK-LAKELAND is a provider located in LAKELAND, FL. NPPES has assigned the NPI number 1093187429 to HEALTHSTAT WELLNESS POLK-LAKELAND on October 26, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2083P0500X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine

The NPI profile was previously updated about 6 years ago on Jul 14, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HEALTHSTAT WELLNESS POLK-LAKELAND below.

NPI Profile for
HEALTHSTAT WELLNESS POLK-LAKELAND

NPI Number
1093187429
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HEALTHSTAT WELLNESS POLK-LAKELAND
Primary location
3215 WINTER LAKE ROAD
LAKELAND, FL 33803
Phone: (704) 529-6161 Fax:
Mailing address
4651 CHARLOTTE PARK DR
SUITE 300
CHARLOTTE, NC 28217-1956
Phone: Fax:
Organization Subpart
No
Authorized Official
JILL PATTON
DIRECTOR OF RISK MANAGEMENT
Phone: (704) 936-5546
Updated
Certification Date
Jul 14, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083P0500X
- Preventive Medicine / Preventive Medicine/Occupational Environmental Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.