Organization · Type 2 NPI

Path Medical, LLC

Rehabilitation Clinic/Center · Brandon, FL

NPI number 1891236816 Active

Practice location

1369 Providence Rd
Brandon, FL 33511-4885

Call (813) 982-3456 Map

Fax (813) 982-3457

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Rehabilitation Clinic/Center Primary	261QR0400X	HCC8643 (FL)

Rehabilitation Clinic/Center: Definition to come...

Another provider at this address

Jose Manuel Medina Sanchez, MDPhysical Medicine & Rehabilitation Physician Brandon, FL NPI 1619121324

Other rehabilitation clinic/center providers in Brandon

See all in Brandon →

NPI record

NPI: 1891236816
Entity type: Organization (Type 2)
Issued: Mar 9, 2017
Last updated: Sep 9, 2019
Status: Active
Subpart: Yes of Path Medical

Other names

<unavail>
Path Medical - South Tampa · doing business as
Path Medical - South Tampa · 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 1891236816

Path Medical, LLC's National Provider Identifier is 1891236816, issued on Mar 9, 2017. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Brandon, FL. The record was last updated on Sep 9, 2019.