Path Medical - Obt | |
6220 S Orange Blossom Trl Ste 606 Orlando FL 32809-4688 | |
(407) 399-9070 | |
(407) 730-9928 |
Full Name | Path Medical - Obt |
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Speciality | Clinic/center |
Location | 6220 S Orange Blossom Trl Ste 606, Orlando, 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 |
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Path Medical - Obt 2304 W Oakland Park Blvd Oakland Park FL 33311-1422 Ph: (754) 218-2164 | Path Medical - Obt 6220 S Orange Blossom Trl Ste 606 Orlando FL 32809-4688 Ph: (407) 399-9070 |
NPI Number | 1477089688 |
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Provider Enumeration Date | 05/08/2017 |
Last Update Date | 09/09/2019 |
Identifier | Type | State | Issuer |
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1477089688 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | HCC5435 (Florida) | Primary |
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