NPIMap

Organization Active NPI

Healthdyne Specialty Florida, LLC

Doing business as HealthDyne Specialty / WellDyne Specialty

  • Pharmacy
  • Lakeland, FL
National Provider Identifier
1083265540
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
HEALTHDYNE SPECIALTY FLORIDA, LLC
Doing business as
HealthDyne Specialty / WellDyne Specialty
HealthDyne Specialty Pharmacy
Practice address
500 Eagles Landing Dr Ste a
Lakeland, FL 33810-2899
Phone
(863) 583-6523
NPI assigned
Sep 26, 2019
Last updated
Aug 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Phillip P. Bisesi
Title
Senior Vice President & Secretary
Phone
(863) 583-6248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

500 Eagles Landing Dr Ste a
Lakeland, FL 33810-2899

Mailing address

500 Eagles Landing Dr
Lakeland, FL 33810-2899
Phone (888) 479-2000

Other identifiers 1

IdentifierTypeStateIssuer
015585000MedicaidFL

Other names 2

  • HealthDyne Specialty / WellDyne Specialty Doing business as
  • HealthDyne Specialty Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Healthdyne Specialty Florida LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

500 Eagles Landing Dr
Ste A
Lakeland, FL 33810
Phone (800) 641-8475

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1083265540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 EAGLES LANDING DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102899",
            "telephone_number": "888-479-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 EAGLES LANDING DR STE A",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102899",
            "telephone_number": "863-583-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHDYNE SPECIALTY FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2025-08-12",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "BISESI",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "863-583-6248"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015585000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthDyne Specialty / WellDyne Specialty",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthDyne Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.