Organization
PATH MEDICAL, LLC
Active
Organization
PATH MEDICAL, LLC
Active
Parent organization
PATH MEDICAL CENTER HOLDINGS, INC
Other names
Path Medical - Northside, Path Medical- Arlington
Organization subpart
Yes
Provider details
NPI number
Legal business name
PATH MEDICAL CENTER HOLDINGS, INC
Authorized official
ANICIA O VICENTE MA (DIRECTOR OF BILLING)
(407) 367-5166
Entity
Organization
Contact information
Practice address
9119 MERRILL RD STE 32, JACKSONVILLE, FL 32225-4306
(904) 575-3695
(855) 831-2252
Mailing address
6220 S ORANGE BLOSSOM TRL STE 200, ORLANDO, FL 32809-4678
(407) 367-5160
(407) 730-9928
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
HCC11220
FL
261QH0100X
Health Service Clinic/Center
Primary
HCC11222
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
475580767
PIP
FL
Enumeration date
01/06/2018
Last updated
06/16/2018
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