<Unavail>

LBN: Path Medical, Llc
<Unavail> is an health care organization with primary practice located at 10967 Lake Underhill Rd Ste 120 , Orlando FL 32825-4454. 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 (407) 367-3040, or through Bonnardel, Neil via phone (754) 218-2164.

Contact Information

Primary practice address
10967 Lake Underhill Rd Ste 120 Orlando FL 32825-4454
Phone: (407) 367-3040
Fax: (407) 367-3043
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 1467998252
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 Yes
Enumeration date Jan 17th, 2017
Last updated Nov 6th, 2019 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1467998252 NPPES
Florida Other HCC8601 STATE LICENSE

Popular Providers