HEALTHSTAT ONSITE CLINIC- MOSAIC BOWLING GREEN (NPI# 1255730735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255730735 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ONSITE CLINIC- MOSAIC BOWLING GREEN |
| Practice Address |
6209 N County Road 663 Bowling Green FL 33834-6807 |
| Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
| Practice Telephone | 7045296161 |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-11-13 |
| Authorized Official Name | WARREN HUTTON (COO) |
| Authorized Official Telephone | 7045296161 |
| 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 |
6209 N COUNTY ROAD 663 |
| City | BOWLING GREEN |
| State | FL |
| Zip Code | 33834-6807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891957775 | Connie S Evans | Counselor | 109 Pineapple St E, Bowling Green, FL 33834-1039 | 2008-07-01 |
| 1467469890 | Diversified Behavioral Health Solutions | Counselor | 4705 Us Highway 17 N, Bowling Green, FL 33834-5004 | 2006-08-01 |
| 1275523565 | Joyce Oliver-fulse | Speech-Language Pathologist | 4831 Dixiana Dr, Bowling Green, FL 33834-5050 | 2005-10-27 |
| 1699958603 | J. Oliver Speech Pathology Services, Inc. | Early Intervention Provider Agency | 4831 Dixiana Dr, Bowling Green, FL 33834-5050 | 2007-12-12 |
| 1225309297 | Raul P. Palomado, Md Pa | Clinic/Center | 302 W Main St, Bowling Green, FL 33834-5053 | 2012-01-23 |
| 1669755195 | Frontline Health Services LLC | Pharmacy | 304 W Main St, Bowling Green, FL 33834-5053 | 2011-09-21 |
| 1922043439 | Raul P Palomado | General Practice | 302 W Main St, Bowling Green, FL 33834-5053 | 2006-06-18 |
| 1285914150 | Epca, Inc | Clinic/Center | 5207 Mason Dixon Ave, Bowling Green, FL 33834-5095 | 2011-08-24 |
| 1366724486 | Epca, Inc | Substance Abuse Rehabilitation Facility | 5207 Mason Dixon Ave, Bowling Green, FL 33834-5095 | 2011-09-14 |
| 1013903996 | Jose Ricardo Burgos Polo | Dentist | 6901 State Road 62, Bowling Green, FL 33834-8976 | 2005-09-26 |
| Find all providers in zip 33834 | ||||
| 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 | ||||
| City | BOWLING GREEN |
| Zip Code | 33834 |
Please comment or provide details below to improve the information on HEALTHSTAT ONSITE CLINIC- MOSAIC BOWLING GREEN.
| 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.