# PREVENTATIVE WELLNESS SOLUTIONS III PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003553785
- **Authorized official:** STACEY HEALD (MGR)
- **Authorized official phone:** (813) 228-6334

## Contact information

- **Practice address:** 112 PERKINS DR STE 300, CHAPEL HILL, NC 27514-1786
- **Practice address phone:** (919) 364-3344
- **Practice address fax:** (919) 364-0137
- **Mailing address:** 509 S HYDE PARK AVE, TAMPA, FL 33606-2266
- **Mailing address phone:** (813) 228-6334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2022
- **Last updated:** 05/31/2022