Path Medical-dade | |
17560 Nw 27th Ave Ste 111 Miami Gardens FL 33056-4075 | |
(305) 623-5939 | |
(305) 623-1541 |
Full Name | Path Medical-dade |
---|---|
Speciality | Clinic/center |
Location | 17560 Nw 27th Ave Ste 111, Miami Gardens, Florida |
Authorized Official Name and Position | Neil Bonnardel (DIRECTOR OF MEDICAL SERVICES) |
Authorized Official Contact | 7542182164 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Path Medical-dade 2304 W Oakland Park Blvd Oakland Park FL 33311-1422 Ph: (754) 218-2164 | Path Medical-dade 17560 Nw 27th Ave Ste 111 Miami Gardens FL 33056-4075 Ph: (305) 623-5939 |
NPI Number | 1083074595 |
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Provider Enumeration Date | 02/25/2016 |
Last Update Date | 09/09/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083074595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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