HEALTHSTAT WELLNESS PASCO DADE (NPI# 1003219940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003219940 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT WELLNESS PASCO DADE |
| Practice Address |
36739 State Road 52 Suite 104 Dade City FL 33525-5101 |
| Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
| Practice Telephone | 7045296161 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2020-08-17 |
| Authorized Official Name | JILL JOHNSON PATTON (DIRECTOR OF RISK MANAGEMENT) |
| Authorized Official Telephone | 7049365546 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
36739 STATE ROAD 52 SUITE 104 |
| City | DADE CITY |
| State | FL |
| Zip Code | 33525-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679723431 | Verssa Womens Center Pa | Obstetrics & Gynecology | 36739 State Road 52, Suite 101, Dade City, FL 33525-5101 | 2008-09-29 |
| 1205288412 | Roller Gynecology LLC | Obstetrics & Gynecology | 36739 State Road 52, Suite 101, Dade City, FL 33525-5101 | 2016-07-12 |
| 1841648128 | Holistic Solutions Counseling Center, LLC | Counselor | 36739 State Road 52, Dade City, FL 33525-5101 | 2016-05-27 |
| 1063721348 | Edwin Colon, Md Pa | Specialist | 36739 State Road 52, Suite 102, Dade City, FL 33525-5101 | 2010-10-04 |
| 1194034744 | Dade City Primary Care Center | Internal Medicine | 36739 State Road 52, Dade City, FL 33525-5101 | 2010-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735772 | Medical Risk Solutions | Family Medicine | 38503 Centennial Road, Dade City, FL 33525 | 2018-10-03 |
| 1629593280 | Kiria Cuevas | Pharmacist | 11830 Us-301, Dade City, FL 33525 | 2017-08-04 |
| 1477005452 | Nancy T Mathew | Nurse Practitioner | 9834 Pine Leaf Lane, Dade City, FL 33525 | 2016-10-26 |
| 1720470933 | Jackalynne Burns | Behavioral Analyst | 11820 Munbury Dr, Dade City, FL 33525 | 2015-02-25 |
| 1497146781 | Bridgett Crews | Case Manager/Care Coordinator | 9315 Handcart Rd., Dade City, FL 33525 | 2015-02-09 |
| 1437457389 | Shannon Clarke Korst | Massage Therapist | 11045 Old Lakeland Hwy, Dade City, FL 33525 | 2011-03-02 |
| 1689907420 | Gladys Borges | Nutritionist | 13941 15th Street, Pchd Wic & Nutrition Services, Dade City, FL 33525 | 2009-09-11 |
| 1730412628 | Veekas Patel | Pharmacist | 12715 Hwy 301, Dade City, FL 33525 | 2009-09-10 |
| 1376765347 | Linda F Elmore | Technician, Other | 12649 Us Hwy 301, Dade City, FL 33525 | 2007-05-02 |
| 1417086190 | Marta M Velasquez | Pharmacist | 12649 Hwy 301, Dade City, FL 33525 | 2007-03-05 |
| Find all providers in zip 33525 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental 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. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606631 | Healthstat Wellness Health Center John Knox Village | Preventive Medicine | 500 South West 3rd Street, Suite 100, Pompano Beach, FL 33060 | 2020-10-14 |
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1912463746 | Healthstat Wellness Pasco Land O Lakes | Preventive Medicine | 4111 Land O Lakes Blvd Ste 301, Land O Lakes, FL 34639-4403 | 2019-02-18 |
| 1811436884 | Healthstat Onsite Clinic Mosaic Highland Oaks | Preventive Medicine | 10210 Highland Manor Dr Ste 350, Tampa, FL 33610-9177 | 2017-02-23 |
| 1467902353 | Healthstat Onsite Clinic Mosaic South Pierce | Preventive Medicine | 7450 Hwy 630, Mulberry, FL 33860 | 2016-10-04 |
| 1427418003 | Healthstat Onsite Clinic Duette | Preventive Medicine | 1295 Duette Rd, Duette, FL 34219-7921 | 2016-02-25 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1588054514 | Healthstat Onsite Clinic Mosaic Plant City | Preventive Medicine | 10608 Paul Buchman Hwy, Plant City, FL 33565 | 2015-01-29 |
| 1356740757 | Healthstat Onsite Clinic- Mosaic Mulberry | Preventive Medicine | 3095 Highway 640 West, Mulberry, FL 33860 | 2014-08-21 |
| 1538568936 | Healthstat Onsite Clinic- Mosaic Bradley | Preventive Medicine | 11200 State Rd. 37 South, Bradley, FL 33835 | 2014-08-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.