Healthstat Onsite Clinic/pasco- Dade City

NPI 1003219940 - Preventive Medicine - 2083P0500X

NPI Details
NPI 1003219940
Enumeration Date 10/07/2014
Last Updated 10/07/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name WARREN WARREN
Position COO
Phone (704) 529-6161
Fax
Practice Location
36739 STATE ROAD 52
SUITE 104
DADE CITY FL, 33525-5101, US
Phone (704) 529-6161
Fax
Business Location
4651 CHARLOTTE PARK DR
SUITE 300
CHARLOTTE NC, 28217-1956, US
Phone
Fax
Toxanomy
Taxonomy Code 2083P0500X
License State
License Number
Remove 1003219940 NPI Number
 

According to our database, Healthstat Onsite Clinic/pasco- Dade City NPI is 1003219940, taxonomy code is 2083P0500X Healthstat Onsite Clinic/pasco- Dade City physically located at 36739 State Road 52, Dade City FL, 33525-5101. NPI Number 1033115704 has the healthcare provider type.

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1003219940 NPI number is provided on an as is basis without warranty of any kind. 1003219940 is maintained by the National Plan & Provider Enumeration System. The contents of Healthstat Onsite Clinic/pasco- Dade City are for informational purposes only.