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PATH MEDICAL LLC NPI 1386185189


NPI Information

NPI: 1386185189
Provider Name: PATH MEDICAL, LLC

Doing Business As: PATH MEDICAL - NORTH TAMPA

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
14824 N FLORIDA AVE STE A
TAMPA, FL
ZIP 33613
Phone: (813) 549-4480
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PATH MEDICAL, LLC is a rehabilitation clinic center in Tampa, FL. PATH MEDICAL, LLC NPI is 1386185189. The provider is registered as an organization entity type.
The provider Is Doing Business As Path Medical - North Tampa.

The provider's business location address is:

14824 N FLORIDA AVE STE A
TAMPA, FL
ZIP 33613-844
Phone: (813) 549-4480
Fax: (813) 549-4485

The provider's authorized official is Neil Bonnardel .
The authorized official title is Director Of Medical Services and has the following contact phone number (754) 218-2164.

The enumeration date for this NPI number is 3/13/2017 and was last updated on 9/9/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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