Organization
HEALTHPATH MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT P. HOSTLER (DIRECTOR/CEO/PRESIDENT)
(703) 359-7200
Entity
Organization
Contact information
Practice address
201 NW 82ND AVE STE 203B, PLANTATION, FL 33324-1854
(954) 472-7169
(954) 473-3313
Mailing address
201 NW 82ND AVE STE 203B, PLANTATION, FL 33324-1854
(954) 472-7169
(954) 473-3313
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
23433
FL
261QP2300X
Primary Care Clinic/Center
Primary
HCC9758
FL
Other
Enumeration date
04/09/2013
Last updated
10/21/2020
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