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Organization

HEALTHSTAT WELLNESS CITY OF LAKELAND

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL JOHNSON PATTON (DIRECTOR OF RISK MANAGEMENT)
(704) 936-5546
Entity
Organization

Contact information

Practice address
491 N LAKE PARKER AVE, LAKELAND, FL 33801
(863) 834-6710
Mailing address
4651 CHARLOTTE PARK DR STE 300, CHARLOTTE, NC 28217-1916

Taxonomy

Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary

Other

Enumeration date
10/01/2012
Last updated
12/18/2024
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