# NUTRITION PATHWAYS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538032610
- **Authorized official:** PAUL THEIN (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (239) 302-9223

## Contact information

- **Practice address:** 170 AIRPARK BLVD \# 103, IMMOKALEE, FL 34142-3833
- **Practice address phone:** (239) 217-4888
- **Mailing address:** 750 S 5TH ST STE 100D, IMMOKALEE, FL 34142-4301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335G00000X | Medical Foods Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 09/25/2025
- **Last updated:** 09/25/2025