Organization
PATH MEDICAL, LLC
Active
Parent organization
PATH MEDICAL
Other names
Path Medical - North Tampa
Organization subpart
Yes
Provider details
NPI number
Legal business name
PATH MEDICAL
Authorized official
DR. NEIL BONNARDEL MD (DIRECTOR OF MEDICAL SERVICES)
(754) 218-2164
Entity
Organization
Contact information
Practice address
14824 N FLORIDA AVE STE A, TAMPA, FL 33613-1844
(813) 549-4480
(813) 549-4485
Mailing address
2304 W OAKLAND PARK BLVD, OAKLAND PARK, FL 33311-1422
(754) 218-2164
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2017
Last updated
09/09/2019
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