HEALTHSTAT ONSITE CLINIC- MOSAIC FT. MEADE (NPI# 1538568019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538568019 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ONSITE CLINIC- MOSAIC FT. MEADE |
| Practice Address |
5880 Manley Rd Fort Meade FL 33841-9257 |
| Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
| Practice Telephone | 7045296161 |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |
| 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 |
5880 MANLEY RD |
| City | FORT MEADE |
| State | FL |
| Zip Code | 33841-9257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346328812 | Charles Robert Fort | Dentist | 330 East Broadway Street, Fort Meade, FL 33841 | 2006-11-01 |
| 1487767810 | Roger G Haag | Chiropractor | 111 W Broadway, Fort Meade, FL 33841 | 2006-08-17 |
| 1841841905 | Roxann Anderson | Technician | 432 N Church Ave, Fort Meade, FL 33841-2713 | 2019-09-20 |
| 1063446003 | Cheryl Doty | Physical Therapist | 100 E Broadway St, Fort Meade, FL 33841-2904 | 2006-07-10 |
| 1003006552 | Alner Miguel Quinonez | Family Medicine | 25 N Lanier Ave, Fort Meade, FL 33841-2918 | 2007-07-31 |
| 1649409079 | Alner Miguel Quinonez, M.d., P.a. | Family Medicine | 25 N Lanier Ave, Fort Meade, FL 33841-2918 | 2009-07-07 |
| 1164614186 | Marcela Arguedas | Family Medicine | 25 N Lanier Ave, Fort Meade, FL 33841-2918 | 2007-08-14 |
| 1831443258 | C R Fort Dmd Plc | Dentist | 330 E Broadway St, Fort Meade, FL 33841-3012 | 2012-11-07 |
| 1548275159 | Ft Meade Community Pharmacy Inc | Pharmacy | 107 W Broadway St Ste B, Fort Meade, FL 33841-3300 | 2006-07-30 |
| 1497931190 | Nadia Swain Anderson | Massage Therapist | 13 W Broadway St, Fort Meade, FL 33841-3303 | 2008-01-14 |
| Find all providers in zip 33841 | ||||
| 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 | FORT MEADE |
| Zip Code | 33841 |
Please comment or provide details below to improve the information on HEALTHSTAT ONSITE CLINIC- MOSAIC FT. MEADE.
| 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.