Organization
PATH MEDICAL, LLC
Active
Parent organization
PATH MEDICAL CENTER HOLDINGS, INC
Other names
Path Medical - Palm Beach Lakes, Path Medical- Boca
Organization subpart
Yes
Provider details
NPI number
Legal business name
PATH MEDICAL CENTER HOLDINGS, INC
Authorized official
DR. NEIL BONNARDEL MD (DIRECTOR OF MEDICAL SERVICES)
(754) 218-2164
Entity
Organization
Contact information
Practice address
2001 PALM BEACH LAKES BLVD STE 101, WEST PALM BEACH, FL 33409-6513
(561) 240-6584
(561) 437-4142
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
12/05/2016
Last updated
02/28/2020
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