PATH MEDICAL LLC NPI 1558802579

NPI Information

  • NPI: 1558802579
  • Provider Name: PATH MEDICAL, LLC
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Doing Business As: PATH MEDICAL - CENTRAL TAMPA
  • Address: 4700 N HABANA AVE STE 100
    TAMPA, FL
    ZIP 33614
  • Phone: (813) 549-1515

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NPI Details

PATH MEDICAL, LLC is a rehabilitation clinic center in Tampa, FL. PATH MEDICAL, LLC NPI is 1558802579. The provider is registered as an organization entity type.
The provider Is Doing Business As Path Medical - Central Tampa.

The provider's business location address is:

4700 N HABANA AVE STE 100
TAMPA, FL
ZIP 33614-116
Phone: (813) 549-1515
Fax: (813) 549-1516

The provider's authorized official is Anicia O Vicente .
The authorized official title is Billing Director and has the following contact phone number (407) 399-9070.

The enumeration date for this NPI number is 3/9/2017 and was last updated on 3/9/2017.

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
1261QR0400XClinic/CenterRehabilitationHCC8645FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1475580767OTHERFLORIDAPIP

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: 11/21/2025

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