<Unavail>

LBN: Path Medical, Llc
<Unavail> is an health care organization with primary practice located at 549 Nw Lake Whitney Pl Ste 101 , Port St Lucie FL 34986-1606. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Path Medical, Llc can be contacted via phone (772) 732-7874, or through Bonnardel, Neil via phone (754) 218-2164.

Contact Information

Primary practice address
549 Nw Lake Whitney Pl Ste 101 Port St Lucie FL 34986-1606
Phone: (772) 732-7874
Fax: (772) 300-9093
Website:
Map and Directions
Authorized official contact:
Name: Bonnardel, Neil Doctor of Medicine (MD)
Phone: (754) 218-2164

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1003276635
LBN Legal business name Path Medical, Llc
DBA Doing business as <Unavail>
Authorized official Bonnardel, Neil Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2016
Last updated Feb 5th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003276635 NPPES
Florida Other HCC10776 STATE LICENSE

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