| NPI | 1003276635 |
|---|---|
| Doing Business As | PATH MEDICAL- PORT ST. LUCIE |
| Entity Type | Organization |
| Authorized Contact | NEIL BONNARDEL Director Of Medical Services 754-218-2164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2021-02-05 |