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HEALTHSTAT ON SITE CLINIC/CHARLOTTE COUNTY PUBLIC SCHOOLS

Physicians Preventive Medicine Preventive Medicine/Occupational Environmental Medicine

Provider NPI: 1619222841

Organization Information:
Organization Name:  HEALTHSTAT ON SITE CLINIC/CHARLOTTE COUNTY PUBLIC SCHOOLS
Organization is not Subpart
Authorized Official:  WARREN  HUTTON  COO  704-529-6161

Practice Location:
18150 MURDOCK CIR  PORT CHARLOTTE, FL 33948-4027 US
Tel: 941-255-7650  Fax: --

Business Mailing Address:
4651 CHARLOTTE PARK DR STE 300  CHARLOTTE, NC 28217-1916 US
Tel: --  Fax: --

NPI Information:
NPI: 1619222841
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2083P0500XPhysicians
Preventive Medicine
Preventive Medicine/Occupational Environmental Medicine

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 2083P0500X

Type:

Classification:



Definition:



MEDICAL JOBS FL - Page 1

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