HEALTHSTAT ONSITE CLINIC- MILLIKEN SIVANCE NPI 1083026876

NPI Information

HEALTHSTAT ONSITE CLINIC- MILLIKEN SIVANCE is a preventive medicine/occupational environmental medicine preventive medicine in Gainesville, FL. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. HEALTHSTAT ONSITE CLINIC- MILLIKEN SIVANCE NPI is 1083026876. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4044 NE 54TH AVE
GAINESVILLE, FL
ZIP 32609-679
Phone: (352) 244-2318

The provider's authorized official is Warren Hutton .
The authorized official title is Coo and has the following contact phone number (704) 529-6161.

The CLIA number assigned to this NPI record is 10D2080299 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/28/2014 and was last updated on 5/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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