institution
Path Medical, Llc
Health Service Clinic/Center in Orange Park, Florida
NPI 1275031569

Path Medical, Llc is a Health Service Clinic/Center based in Orlando, FL and is specialized in Health Service. Path Medical, Llc practices in Orange Park, FL. The NPI Number for Path Medical, Llc is 1275031569 and holds a License No. HCC11223 (Florida).

The current practice location address for Path Medical, Llc is 859 Park Ave Ste 102, Orange Park, FL and can be reached out via phone at 407-367-5160 and via fax at 407-730-9928.

Location: 859 Park Ave Ste 102, Orange Park, FL, 32809-4678
institution
Provider Profile Details
NPI Number
1275031569
Provider Name
Path Medical, Llc
Credential
Provider Entity Type
Organization
Address
859 Park Ave Ste 102, Orange Park, FL, 32809-4678
Phone Number
407-367-5160
Fax Number
407-730-9928
Provider Enumeration Date
02/01/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
47558767 01 FL PIP
institution
Provider Business Practice Location Address Details
Address
859 Park Ave Ste 102
City
State
Zip
32073-4151
Phone Number
407-367-5160
Fax Number
407-730-9928
person
Provider Business Mailing Address Details
Address
859 Park Ave Ste 102
City
State
Zip
32073-4151
Phone Number
407-367-5160
Fax Number
407-730-9928
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
HCC11223 (Florida)
Definition
Definition to come...
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