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PATH MEDICAL LLC NPI 1891236816


NPI Information

NPI: 1891236816
Provider Name: PATH MEDICAL, LLC

Doing Business As: PATH MEDICAL - SOUTH TAMPA

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
1369 PROVIDENCE RD
BRANDON, FL
ZIP 33511
Phone: (813) 982-3456
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PATH MEDICAL, LLC is a rehabilitation clinic center in Brandon, FL. PATH MEDICAL, LLC NPI is 1891236816. The provider is registered as an organization entity type.
The provider Is Doing Business As Path Medical - South Tampa.

The provider's business location address is:

1369 PROVIDENCE RD
BRANDON, FL
ZIP 33511-885
Phone: (813) 982-3456
Fax: (813) 982-3457

The provider's authorized official is Neil Bonnardel .
The authorized official title is Director Of Medical Services and has the following contact phone number (754) 218-2164.

The enumeration date for this NPI number is 3/9/2017 and was last updated on 9/9/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0400XClinic/CenterRehabilitationHCC8643FLORIDAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.