Provider Demographics
NPI:1861073140
Name:PUBLIC SAFETY WELLNESS FOUNDATION, INC.
Entity type:Organization
Organization Name:PUBLIC SAFETY WELLNESS FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAIMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-230-8000
Mailing Address - Street 1:5201 FIELDVIEW CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-3822
Mailing Address - Country:US
Mailing Address - Phone:407-230-8000
Mailing Address - Fax:407-386-7318
Practice Address - Street 1:5201 FIELDVIEW CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-3822
Practice Address - Country:US
Practice Address - Phone:407-230-8000
Practice Address - Fax:407-386-7318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-18
Last Update Date:2021-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine