| NPI | 1316454788 |
|---|---|
| Doing Business As | PATH MEDICAL - ORANGE PARK |
| Entity Type | Organization |
| Authorized Contact | ANICIA O VICENTE Billing Directo 407-367-5160 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC11223) |
| Enumeration Date | 2018-01-06 |
| Last Update Date | 2018-06-16 |