HEALTHSTAT ONSITE CLINIC- MOSAIC MULBERRY (NPI# 1356740757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356740757 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ONSITE CLINIC- MOSAIC MULBERRY |
| Practice Address |
3095 Highway 640 West Mulberry FL 33860 |
| Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
| Practice Telephone | 7045296161 |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |
| 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 |
3095 HIGHWAY 640 WEST |
| City | MULBERRY |
| State | FL |
| Zip Code | 33860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598280414 | Marilyn Renee Hobdy | Case Manager/Care Coordinator | 2155 Pump Rd, Mulberry, FL 33860 | 2017-08-11 |
| 1467902353 | Healthstat Onsite Clinic Mosaic South Pierce | Preventive Medicine | 7450 Hwy 630, Mulberry, FL 33860 | 2016-10-04 |
| 1154746899 | Central Florida Health Care, Inc. | Clinic/Center | 106 Nw 9th Avenue, Mulberry, FL 33860 | 2014-03-04 |
| 1114056108 | Abhaykumar Sobhagchand Shah | Pharmacist | 6745 North Curch Ave, Mulberry, FL 33860 | 2007-03-05 |
| 1174134845 | Mulberry Ltc Pharmacy, LLC | Pharmacy | 1011 N Church Ave, Mulberry, FL 33860 | 2020-08-14 |
| 1609112408 | Margarette Lespinasse | Nurse Practitioner | 106 Nw 9th Ave, Mulberry, FL 33860 | 2012-12-26 |
| 1437141686 | Salazar Family Health Care, Inc | Family Medicine | 708 N Church Ave, Mulberry, FL 33860-2034 | 2005-08-15 |
| 1811357775 | Sandra George | Nurse Practitioner | 708 N Church Ave, Mulberry, FL 33860-2034 | 2016-03-03 |
| 1417588625 | Mulberry Food and Pharmacy LLC | Pharmacy | 806 N Church Ave, Mulberry, FL 33860-2036 | 2020-01-28 |
| 1750561619 | Mulberry Pharmacy Inc | Pharmacy | 1011 N Church Ave, Mulberry, FL 33860-2039 | 2007-11-08 |
| Find all providers in zip 33860 | ||||
| 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 |
|---|---|---|---|---|
| 1467902353 | Healthstat Onsite Clinic Mosaic South Pierce | Preventive Medicine | 7450 Hwy 630, Mulberry, FL 33860 | 2016-10-04 |
| 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 |
| 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 |
| 1538568936 | Healthstat Onsite Clinic- Mosaic Bradley | Preventive Medicine | 11200 State Rd. 37 South, Bradley, FL 33835 | 2014-08-21 |
| 1538568019 | Healthstat Onsite Clinic- Mosaic Ft. Meade | Preventive Medicine | 5880 Manley Rd, Fort Meade, FL 33841-9257 | 2014-08-20 |
| 1104225689 | Healthstat Onsite Clinic-mosaic Riverview | Preventive Medicine | 8813 Us Highway 41, Riverview, FL 33578-4865 | 2014-08-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HEALTHSTAT ONSITE CLINIC- MOSAIC MULBERRY.
| 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.