{"npi":"1013633015","type":"NPI-2","status":"active","name":{"display":"Healthstat Wellness-Pcsb Haines Dispensing","other":[],"organization_name":"HEALTHSTAT WELLNESS-PCSB HAINES DISPENSING","authorised_official":"Jill Patton"},"specialty":{"primary_taxonomy":"2083P0500X","primary_taxonomy_description":"Preventive Medicine/Occupational Environmental Medicine Physician","slug":"preventive-medicine-occupational-environmental-medicine-physician","schema_org_specialty":null,"all":[{"code":"2083P0500X","description":"Preventive Medicine/Occupational Environmental Medicine Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"631B US HIGHWAY 17 92 W","city":"HAINES CITY","state":"FL","postal_code":"338445047","country_code":"US","phone":"7056611380"},{"purpose":"MAILING","street_1":"4651 CHARLOTTE PARK DR STE 300","city":"CHARLOTTE","state":"NC","postal_code":"282171916","country_code":"US"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2022-10-12","last_updated":"2022-10-12","_meta":{"source":"NPPES","snapshot_date":"2022-10-12","doc_url":"https://findmynpi.com/api"}}