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PATH MEDICAL LLC NPI 1912443706


NPI Information

NPI: 1912443706
Provider Name: PATH MEDICAL, LLC

Doing Business As: PATH MEDICAL - KISSIMMEE

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1040 E OSCEOLA PKWY
KISSIMMEE, FL
ZIP 34744
Phone: (321) 219-1000
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PATH MEDICAL, LLC is a clinic center in Kissimmee, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PATH MEDICAL, LLC NPI is 1912443706. The provider is registered as an organization entity type.
The provider Is Doing Business As Path Medical - Kissimmee.

The provider's business location address is:

1040 E OSCEOLA PKWY
KISSIMMEE, FL
ZIP 34744-607
Phone: (321) 219-1000
Fax: (407) 730-9928

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 1/17/2017 and was last updated on 11/6/2019.


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
1261Q00000XClinic/CenterYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HCC8292OTHERFLORIDASTATE LICENSE

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: 4/28/2024

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