Organization
PATH MEDICAL ACQUISITION COMPANY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRES MESA (DIRECTOR OF COMPLIANCE)
(954) 347-1670
Entity
Organization
Contact information
Practice address
1380 N UNIVERSITY DR, PLANTATION, FL 33322-4719
(954) 735-6584
(954) 337-3965
Mailing address
2304 W OAKLAND PARK BLVD, OAKLAND PARK, FL 33311-1422
(954) 735-6584
(954) 337-3965
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
HCC5435
FL
Other
Enumeration date
10/10/2016
Last updated
01/27/2023
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