Organization
PATH MEDICAL, LLC
Active
Organization
PATH MEDICAL, LLC
Active
Parent organization
PATH MEDICAL CENTER HOLDINGS, INC.
Other names
Path Medical - East
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
10967 LAKE UNDERHILL RD STE 120, ORLANDO, FL 32825-4454
(407) 367-3040
(407) 367-3043
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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC8601
STATE LICENSE
FL
Enumeration date
01/17/2017
Last updated
11/06/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up