Organization · Type 2 NPI

Path Medical, LLC

Rehabilitation Clinic/Center · Longwood, FL

NPI number 1740726538 Active

Practice location

851 E State Road 434 Ste 126
Longwood, FL 32750-5364

Call (407) 379-1330 Map

Fax (407) 379-1335

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Rehabilitation Clinic/Center Primary	261QR0400X	HCC7962 (FL)

Rehabilitation Clinic/Center: Definition to come...

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NPI record

NPI: 1740726538
Entity type: Organization (Type 2)
Issued: Jan 17, 2017
Last updated: Sep 9, 2019
Status: Active
Subpart: Yes of Path Medical Center Holdings, Inc.

Other names

<unavail>
Path Medical - Longwood · doing business as
Path Medical - Longwood · 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 1740726538

Path Medical, LLC's National Provider Identifier is 1740726538, issued on Jan 17, 2017. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Longwood, FL. The record was last updated on Sep 9, 2019.