Organization · Type 2 NPI

Path Medical, LLC

Clinic/Center · Tampa, FL

NPI number 1801332697 Active

Practice location

3117 W Columbus Dr Ste 209
Tampa, FL 33607-1855

Call (407) 367-5160 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	None listed
Magnetic Resonance Imaging (MRI) Clinic/Center	261QM1200X	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).

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NPI record

NPI: 1801332697
Entity type: Organization (Type 2)
Issued: Jan 17, 2017
Last updated: Nov 6, 2019
Status: Active
Subpart: Yes of Path Medical Center Holdings, Inc.

Other names

<unavail>
Path Medical - Absolute · doing business as
Path Medical - Absolute · doing business as
Path Medical- Aci · doing business as

Authorized official

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

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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 1801332697

Path Medical, LLC's National Provider Identifier is 1801332697, issued on Jan 17, 2017. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Tampa, FL. The record was last updated on Nov 6, 2019.