Organization
PREVENTATIVE WELLNESS SOLUTIONS III PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY HEALD (MGR)
(813) 228-6334
Entity
Organization
Contact information
Practice address
112 PERKINS DR STE 300, CHAPEL HILL, NC 27514-1786
(919) 364-3344
(919) 364-0137
Mailing address
509 S HYDE PARK AVE, TAMPA, FL 33606-2266
(813) 228-6334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/31/2022
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