Organization
PATH MEDICAL, LLC
Active
Other names
Path Medical-Hollywood
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL BONNARDEL MD (DIRECTOR OF MEDICAL SERVICES)
(754) 218-2164
Entity
Organization
Contact information
Practice address
2544 N STATE ROAD 7, HOLLYWOOD, FL 33021-3205
(954) 963-1899
(954) 963-0561
Mailing address
2304 W OAKLAND PARK BLVD, OAKLAND PARK, FL 33311-1422
(754) 218-2164
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2016
Last updated
09/09/2019
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