PATH MEDICAL LLC NPI 1972010346

NPI Information

NPI: 1972010346
Provider Name: PATH MEDICAL, LLC

Doing Business As: PATH MEDICAL - NORTHSIDE

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
9119 MERRILL RD STE 32
JACKSONVILLE, FL
ZIP 32225
Phone: (904) 575-3695
Get Directions

PATH MEDICAL, LLC is a health service clinic center in Jacksonville, FL. PATH MEDICAL, LLC NPI is 1972010346. The provider is registered as an organization entity type.
The provider Is Doing Business As Path Medical - Northside.

The provider's business location address is:

9119 MERRILL RD STE 32
JACKSONVILLE, FL
ZIP 32225-306
Phone: (904) 575-3695
Fax: (855) 831-2252

The provider's authorized official is Anicia O Vicente .
The authorized official title is Director Of Billing and has the following contact phone number (407) 367-5166.

The enumeration date for this NPI number is 1/6/2018 and was last updated on 6/16/2018.

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	261QH0100X	Clinic/Center	Health Service	HCC11220	FLORIDA	No
2	261QH0100X	Clinic/Center	Health Service	HCC11222	FLORIDA	Yes

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
1	475580767	OTHER	FLORIDA	PIP

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: 5/5/2024

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »