PATH MEDICAL, LLC (NPI# 1588162838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588162838 |
| Entity Type | Organization |
| Organization Name | PATH MEDICAL, LLC |
| Other Organization Name | PATH MEDICAL - MRI TAMARAC |
| Practice Address |
4255 W Commercial Blvd Tamarac FL 33319-3305 |
| Mailing Address |
6220 S Orange Blossom Trl Ste 200 Orlando FL 32809-4678 |
| Practice Telephone | 9547144560 |
| Practice Fax Number | 9547147944 |
| Mailing Telephone | 4073675160 |
| Mailing Fax Number | 4077309928 |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | ANICIA O VICENTE (BILLING DIRECTOR) |
| Authorized Official Telephone | 4073675160 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
HCC11256 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PIP | 475580767 | 01 |
| Other Name | Type Code |
|---|---|
| Path Medical - MRI Tamarac | 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 |
| 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 |
| 1891236816 | Path Medical, LLC | Clinic/Center | 1369 Providence Rd, Brandon, FL 33511-4885 | 2017-03-09 |
| Street Address |
4255 W COMMERCIAL BLVD |
| City | TAMARAC |
| State | FL |
| Zip Code | 33319-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548876733 | Amerktrans Inc | Non-emergency Medical Transport (VAN) | 7481 W Oakland Blvd, 204 C, Lauderhill, FL 33319 | 2020-09-22 |
| 1285264309 | Kevia Figueroa | Marriage & Family Therapist | 4699 N. State Road 7, Suite B1, Tamarac, FL 33319 | 2020-01-16 |
| 1922640283 | A- Plus Medical and Rehab Center Inc | Family Medicine | 4699 N.state Road 7, Suite B 2, Tamarac, FL 33319 | 2019-10-08 |
| 1538711296 | Center of Hope Healthcare, LLC | Family Medicine | 6879 W Commerical Blvd, Tamarac, FL 33319 | 2019-07-12 |
| 1518430362 | Trinity Urgent Care Corp | Clinic/Center | 5411 North State Road 7, Tamarac, FL 33319 | 2019-01-04 |
| 1073007282 | Monthia Allison Ricketts | Registered Nurse | 5841 Nw 56th Place, Tamarac, FL 33319 | 2018-06-20 |
| 1518454164 | Prudent Pharmacy | Pharmacy | 5575 N State Road 7 Ste B, Lauderdale Lakes, FL 33319 | 2018-04-19 |
| 1831603034 | Kristi Dawn Messer | Social Worker | 7491 West Oakland Park Blvd, Suite 308, Lauderhill, FL 33319 | 2017-11-27 |
| 1356855639 | Metamorphosis Psyche LLC | Clinic/Center | 7051 West Commercial Blvd, Suite 3b, Tamarac, FL 33319 | 2017-11-26 |
| 1730693151 | Patricia Turner | Marriage & Family Therapist | 4699 N. State Rd. 7, B-1, Tamarac, FL 33319 | 2017-11-21 |
| Find all providers in zip 33319 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659872760 | Csi-pediatric Services, Inc | Clinic/Center | 10060 W Mcnab Rd, Tamarac, FL 33321-1894 | 2018-02-23 |
| 1518176411 | Sandra Sarmiento Md Pa | Clinic/Center | 7300 W Mcnab Rd Ste 113, Tamarac, FL 33321-5329 | 2007-05-21 |
| 1124244793 | Steven J. Cohn, M. D. P. A. | Clinic/Center | 7301 N University Dr, 204, Tamarac, FL 33321-2919 | 2007-04-18 |
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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.