Organization · Type 2 NPI

Path Medical, LLC

Clinic/Center · Port St. Lucie, FL

NPI number 1003276635 Active

Practice location

549 NW Lake Whitney Pl Ste 101
Port St. Lucie, FL 34986-1606

Call (772) 732-7874 Map

Fax (772) 300-9093

Mailing address

2304 W Oakland Park Blvd
Oakland Park, FL 33311-1422

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Other clinic/center providers in Port St. Lucie

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NPI record

NPI: 1003276635
Entity type: Organization (Type 2)
Issued: Feb 24, 2016
Last updated: Feb 5, 2021
Status: Active

Other names

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Path Medical- Port St. Lucie · doing business as
Path Medical- Port St. Lucie · doing business as

Authorized official

Dr. Neil Bonnardel, MD
Director of Medical Services
(754) 218-2164

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003276635

Path Medical, LLC's National Provider Identifier is 1003276635, issued on Feb 24, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Feb 5, 2021.