PATH MEDICAL, LLC (NPI# 1003276635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003276635 |
| Entity Type | Organization |
| Organization Name | PATH MEDICAL, LLC |
| Other Organization Name | PATH MEDICAL-PLANTATION |
| Practice Address |
8138 W Broward Blvd Plantation FL 33324-2000 |
| Mailing Address |
2304 W Oakland Park Blvd Oakland Park FL 33311-1422 |
| Practice Telephone | 9544730004 |
| Practice Fax Number | 9544730029 |
| Mailing Telephone | 7542182164 |
| Mailing Fax Number | 9544730029 |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2019-11-06 |
| Authorized Official Name | DR. NEIL BONNARDEL (DIRECTOR OF MEDICAL SERVICES) |
| Authorized Official Telephone | 7542182164 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE | HCC10776 | 01 |
| Other Name | Type Code |
|---|---|
| Path Medical-Plantation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407358476 | Path Medical, LLC | Clinic/Center | 601 E Sample Rd Ste 102&109, Pompano Beach, FL 33064-4443 | 2018-03-06 |
| 1922500545 | Path Medical, LLC | Clinic/Center | 2900 N Military Trl Ste 120, Boca Raton, FL 33431-6347 | 2018-02-28 |
| 1588162838 | Path Medical, LLC | Clinic/Center | 4255 W Commercial Blvd, Tamarac, FL 33319-3305 | 2018-01-31 |
| 1316454788 | Path Medical, LLC | Clinic/Center | 859 Park Ave Ste 102, Orange Park, FL 32073-4151 | 2018-01-06 |
| 1972010346 | Path Medical, LLC | Clinic/Center | 9119 Merrill Rd Ste 32, Jacksonville, FL 32225-4306 | 2018-01-06 |
| 1477089688 | Path Medical, LLC | Clinic/Center | 6220 S Orange Blossom Trl Ste 606, Orlando, FL 32809-4688 | 2017-05-08 |
| 1609301308 | Path Medical, LLC | Clinic/Center | 809 S Florida Ave, Lakeland, FL 33801-5234 | 2017-05-01 |
| 1639603699 | Path Medical, LLC | Clinic/Center | 131 Patterson Rd, Haines City, FL 33844-7803 | 2017-04-17 |
| 1386185189 | Path Medical, LLC | Clinic/Center | 14824 N Florida Ave Ste A, Tampa, FL 33613-1844 | 2017-03-13 |
| 1518408533 | Path Medical, LLC | Clinic/Center | 3140 34th St N, St Petersburg, FL 33713-2404 | 2017-03-09 |
| Street Address |
8138 W BROWARD BLVD |
| City | PLANTATION |
| State | FL |
| Zip Code | 33324-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063032282 | American Current Care P.a . | Clinic/Center | 12170 W Sunrise Blvd, Plantation, FL 33323-2227 | 2020-04-17 |
| 1427696681 | Regenestem | Clinic/Center | 9633 W Broward Blvd Ste 1, Plantation, FL 33324-2332 | 2019-12-18 |
| 1346746179 | Diversity Mri | Clinic/Center | 801 S University Dr Ste K103a, Plantation, FL 33324-3367 | 2018-04-02 |
| 1417458464 | Palm Medical Center Plantation, LLC | Clinic/Center | 6971 W Sunrise Blvd Ste 105-106, Plantation, FL 33313-4407 | 2018-02-26 |
| 1902006786 | Cannon Chiropractic Center | Clinic/Center | 920 Sw 40th Ave, Plantation, FL 33317-4523 | 2007-07-20 |
| 1750997755 | Bcc Therapy Group Inc | Clinic/Center | 7875 Nw 11th St, Plantation, FL 33322-5155 | 2020-09-16 |
| 1922651843 | Active Life Anti-aging and Regenerative Medicine Pa | Clinic/Center | 8320 W Sunrise Blvd, Plantation, FL 33322-5435 | 2019-07-19 |
| 1396301743 | Brain Gains Therapy Solutions, LLC | Clinic/Center | 13570 Nw 2nd Manor Bdg 4 Apt 101, Plantation, FL 33325 | 2019-05-10 |
| 1730549411 | Pro Rehab Group Corp | Clinic/Center | 4100 S Hospital Dr, Suite 100, Plantation, FL 33317-2813 | 2016-02-24 |
| 1811366628 | Florida Neurodiagnostics, LLC | Clinic/Center | 1200 S Pine Island Rd, Plantation, FL 33324-4413 | 2015-09-22 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33324 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.