Organization · Type 2 NPI

Path Medical, LLC

Clinic/Center · Kissimmee, FL

NPI number 1912443706 Active

Practice location

1040 E Osceola Pkwy
Kissimmee, FL 34744-1607

Call (321) 219-1000 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

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: 1912443706
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

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Path Medical - Kissimmee · doing business as
Path Medical - Kissimmee · 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 1912443706

Path Medical, LLC's National Provider Identifier is 1912443706, issued on Jan 17, 2017. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Kissimmee, FL. The record was last updated on Nov 6, 2019.