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Organization
NUTRITION PATHWAYS LLC
Active
Organization
NUTRITION PATHWAYS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL THEIN (AUTHORIZED OFFICIAL)
(239) 302-9223
Entity
Organization
Contact information
Practice address
170 AIRPARK BLVD # 103, IMMOKALEE, FL 34142-3833
(239) 217-4888
Mailing address
750 S 5TH ST STE 100D, IMMOKALEE, FL 34142-4301
Taxonomy
Speciality
Code
Description
License number
State
335G00000X
Medical Foods Supplier
Primary
—
NULL
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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