Path Medical, LLC

NPI #1083074595 in Miami Gardens, Florida

Provider Information

NPI Number: 1083074595
Entity Type: Organization
Organization Name: Path Medical, LLC
Primary Specialty: Clinic/Center
Enumeration Date: Feb 25, 2016
Last Updated: Sep 9, 2019

Practice Location

Address: 17560 NW 27TH AVE STE 111
City: Miami Gardens
State: Florida
ZIP Code: 33056-4075
Phone: (305) 623-5939

Authorized Official

Name: DR. NEIL BONNARDEL, MD
Title: DIRECTOR OF MEDICAL SERVICES
Phone: (754) 218-2164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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