Organization · Type 2 NPI

Path Medical, LLC

Clinic/Center · Miami Gardens, FL

NPI number 1083074595 Active

Practice location

17560 NW 27th Ave Ste 111
Miami Gardens, FL 33056-4075

Call (305) 623-5939 Map

Fax (305) 623-1541

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 Miami Gardens

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NPI record

NPI: 1083074595
Entity type: Organization (Type 2)
Issued: Feb 25, 2016
Last updated: Sep 9, 2019
Status: Active

Other names

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Path Medical-Dade · doing business as
Path Medical-Dade · 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 1083074595

Path Medical, LLC's National Provider Identifier is 1083074595, issued on Feb 25, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Miami Gardens, FL. The record was last updated on Sep 9, 2019.