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Organization

Healthstat Wellness-Polk Haines

NPI Record: ActivePreventive Medicine — Preventive Medicine/Occupational Environmental Medicine
NPI1134495245
Haines City, Florida

Provider's NPPES record last updated: July 14, 2020

Overview

Entity Type
Organization
NPI
1134495245
Primary Specialty
Preventive Medicine — Preventive Medicine/Occupational Environmental Medicine
Practice Location
Haines City, Florida
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 2:43 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Preventive Medicine

    Preventive Medicine/Occupational Environmental Medicine

    Allopathic & Osteopathic Physicians

    Primary

    A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

    Taxonomy code 2083P0500X
  • Pharmacy

    Clinic Pharmacy

    Suppliers

    A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

    Taxonomy code 3336C0002X

Practice Locations

Practice Location

631b US Highway 17 92 W

Haines City, Florida 33844-5047

Phone: (863) 519-3858

Other Names

  • Healthstat On-Site Clinic/Polk CountyReported April 13, 2012
  • Healthstat On-Site Clinic/Polk CountyReported July 14, 2020

Record Information

Enumeration Date
March 23, 2012
Provider's NPPES Record Last Updated
July 14, 2020
Certification Date
July 14, 2020
NPISignal NPPES Dataset
August 2026

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