HEALTHPATH MEDICAL CENTER LLC NPI 1053754028

NPI Information

NPI: 1053754028
Provider Name: HEALTHPATH MEDICAL CENTER, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2057604

Address:
201 NW 82ND AVE STE 203B
PLANTATION, FL
ZIP 33324
Phone: (954) 472-7169
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HEALTHPATH MEDICAL CENTER, LLC is a primary care clinic center in Plantation, FL. HEALTHPATH MEDICAL CENTER, LLC NPI is 1053754028. The provider is registered as an organization entity type.

The provider's business location address is:

201 NW 82ND AVE STE 203B
PLANTATION, FL
ZIP 33324-854
Phone: (954) 472-7169
Fax: (954) 473-3313

The provider's authorized official is Robert P. Hostler .
The authorized official title is Director/ceo/president and has the following contact phone number (703) 359-7200.

The CLIA number assigned to this NPI record is 10D2057604 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/9/2013 and was last updated on 10/21/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	23433	FLORIDA	No
2	261QP2300X	Clinic/Center	Primary Care	HCC9758	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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