Path Medical, LLC
NPI #1316454788 in Orange Park, Florida
Provider Information
- NPI Number
- 1316454788
- Entity Type
- Organization
- Organization Name
- Path Medical, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PATH MEDICAL CENTERS HOLDING, INC
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Jan 6, 2018
- Last Updated
- Jun 16, 2018
Practice Location
- Address
- 859 PARK AVE STE 102
- City
- Orange Park
- State
- Florida
- ZIP Code
- 32073-4151
- Phone
- (904) 278-7411
Authorized Official
- Name
- ANICIA O VICENTE, MA
- Title
- BILLING DIRECTO
- Phone
- (407) 367-5160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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