institution
Path Medical, Llc
Health Service Clinic/Center in Orange Park, Florida
NPI 1316454788

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 1316454788 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 904-278-7411 and via fax at 855-831-2251.

Location: 859 Park Ave Ste 102, Orange Park, FL, 32809-4678
institution
Provider Profile Details
NPI Number
1316454788
Provider Name
Path Medical, Llc
Credential
Provider Entity Type
Organization
Address
859 Park Ave Ste 102, Orange Park, FL, 32809-4678
Phone Number
904-278-7411
Fax Number
855-831-2251
Provider Enumeration Date
01/06/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
475580767 01 FL PIP
institution
Provider Business Practice Location Address Details
Address
859 Park Ave Ste 102
City
State
Zip
32073-4151
Phone Number
904-278-7411
Fax Number
855-831-2251
person
Provider Business Mailing Address Details
Address
859 Park Ave Ste 102
City
State
Zip
32073-4151
Phone Number
904-278-7411
Fax Number
855-831-2251
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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