Organization · Type 2 NPI

Path Medical, LLC

Clinic/Center · Lakeland, FL

NPI number 1609301308 Active

Practice location

809 S Florida Ave
Lakeland, FL 33801-5234

Call (407) 399-9070 Map

Fax (407) 730-9928

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	HCC9137 (FL)

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).

Another provider at this address

Verimed Health Group Lakeland LLCPrimary Care Clinic/Center Lakeland, FL NPI 1013321793

Other clinic/center providers in Lakeland

See all in Lakeland →

NPI record

NPI: 1609301308
Entity type: Organization (Type 2)
Issued: May 1, 2017
Last updated: Sep 9, 2019
Status: Active
Subpart: Yes of Path Medical

Other names

<unavail>
Path Medical - Lakeland · doing business as
Path Medical - Lakeland · 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 1609301308

Path Medical, LLC's National Provider Identifier is 1609301308, issued on May 1, 2017. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lakeland, FL. The record was last updated on Sep 9, 2019.