Organization · Type 2 NPI

Path Medical, LLC

Health Service Clinic/Center · Jacksonville, FL

NPI number 1972010346 Active

Practice location

9119 Merrill Rd Ste 32
Jacksonville, FL 32225-4306

Call (904) 575-3695 Map

Fax (855) 831-2252

Mailing address

6220 S Orange Blossom Trl Ste 200
Orlando, FL 32809-4678

Other practice locations

2386 Dunn Ave Ste 109, Jacksonville, FL 32218-4751 · (904) 854-2147

Specialties and licenses

Taxonomy	Code	License
Health Service Clinic/Center	261QH0100X	HCC11220 (FL)
Health Service Clinic/Center Primary	261QH0100X	HCC11222 (FL)

Health Service Clinic/Center: Definition to come...

Other health service clinic/center providers in Jacksonville

See all in Jacksonville →

NPI record

NPI: 1972010346
Entity type: Organization (Type 2)
Issued: Jan 6, 2018
Last updated: Jun 16, 2018
Status: Active
Subpart: Yes of Path Medical Center Holdings, Inc

Other names

<unavail>
Path Medical - Northside · doing business as
Path Medical- Arlington · doing business as

Authorized official

Anicia O Vicente, MA
Director of Billing
(407) 367-5166

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.

Is this your record? How to update it.

About NPI 1972010346

Path Medical, LLC's National Provider Identifier is 1972010346, issued on Jan 6, 2018. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 16, 2018.