Healthcare Provider Details

I. General information

NPI: 1396726006
Provider Name (Legal Business Name): HEALTHCARE SOUTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 WEYMOUTH ST STE 202
ROCKLAND MA
02370-1172
US

IV. Provider business mailing address

302 WEYMOUTH ST STE 202
ROCKLAND MA
02370-1172
US

V. Phone/Fax

Practice location:
  • Phone: 781-803-2786
  • Fax: 781-812-1631
Mailing address:
  • Phone: 781-803-2786
  • Fax: 781-812-1631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. PATRICIA SPEDDEN
Title or Position: PRACTICE MANAGER
Credential:
Phone: 781-383-6261