PATH MEDICAL, LLC (NPI# 1639603699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639603699 |
| Entity Type | Organization |
| Organization Name | PATH MEDICAL, LLC |
| Other Organization Name | PATH MEDICAL- HAINES CITY |
| Practice Address |
131 Patterson Rd Haines City FL 33844-7803 |
| Mailing Address |
2304 W Oakland Park Blvd Oakland Park FL 33311-1422 |
| Practice Telephone | 4073675160 |
| Practice Fax Number | 4077309928 |
| Mailing Telephone | 7542182164 |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2019-09-09 |
| Authorized Official Name | DR. NEIL BONNARDEL (DIRECTOR OF MEDICAL SERVICES) |
| Authorized Official Telephone | 7542182164 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | PATH MEDICAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Path Medical- Haines City | 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 |
| 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 |
131 PATTERSON RD |
| City | HAINES CITY |
| State | FL |
| Zip Code | 33844-7803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134608342 | Patricia Vogl | Counselor | 360 S. 10th Street, Suite A, Haines City, FL 33844 | 2018-08-08 |
| 1639657257 | Jessica Herring | Physical Therapist | 35902 Us-27, Haines City, FL 33844 | 2018-08-06 |
| 1366896482 | Jovita Moise-brown | Custodial Care Facility | 2411 Dorado Ave, Haines City, FL 33844 | 2016-04-14 |
| 1730564170 | Maria Dolores Jimenez | Social Worker | 9024 Orange Blossom Loop, Haines City, FL 33844 | 2015-07-28 |
| 1346565819 | Elaine Carol Weinstein | Respiratory Therapist, Registered | 330 10th Street South, Haines City, FL 33844 | 2010-03-29 |
| 1194999813 | Janice Ramos Colon | General Practice | 502 E Hinson Ave, Haines City, FL 33844 | 2008-04-14 |
| 1225151913 | Erika Selga Grimes | Specialist/Technologist | 262 Paradise Island Dr, Haines City, FL 33844 | 2007-04-09 |
| 1912034265 | Xtra Discount Drugs Hc | Pharmacy | 401 East Hinson Ave, Haines City, FL 33844 | 2007-02-27 |
| 1689727562 | Sports and Orthopedic Rehabilitation Services Inc | Clinic/Center | 19 North 6th Street, Suite A, Haines City, FL 33844 | 2007-01-22 |
| 1194898841 | Jeffrey S Smith | Chiropractor | 101 S 10th Street, Haines City, FL 33844 | 2006-11-17 |
| Find all providers in zip 33844 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1225642622 | Dor Medical Services | Clinic/Center | 103 Landings Blvd, Greenacres, FL 33413-2027 | 2020-09-02 |
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| Find all providers with the same taxonomy | ||||
| City | HAINES CITY |
| Zip Code | 33844 |
Please comment or provide details below to improve the information on PATH MEDICAL, LLC.
| 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.