Organization
FIRSTPATH PA
Active
Other names
North Ridge Pathology Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD GIFFLER M.D. (PRESIDENT)
(305) 665-4614
Entity
Organization
Contact information
Practice address
5601 N DIXIE HWY, SUITE 404, OAKLAND PARK, FL 33334-4148
(954) 771-2200
Mailing address
PO BOX 890, BLUEFIELD, WV 24701-0890
(304) 323-4320
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260369100
—
FL
01
—
45498
BCBS OF FLORIDA
FL
Enumeration date
09/08/2006
Last updated
05/06/2008
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