# PATH MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Path Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336567999
- **Authorized official:** DENISE L FOGAROS ATLER (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (954) 735-6584

## Contact information

- **Practice address:** 17325 NW 27TH AVE, SUITE 111, MIAMI GARDENS, FL 33056-4056
- **Practice address phone:** (954) 735-6584
- **Practice address fax:** (954) 735-6589
- **Mailing address:** 17325 NW 27TH AVE, SUITE 111, MIAMI GARDENS, FL 33056-4056
- **Mailing address phone:** (954) 735-6584
- **Mailing address fax:** (954) 735-6589

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/01/2014
- **Last updated:** 04/01/2014