| NPI | 1336509843 |
|---|---|
| Doing Business As | PATH MEDICAL-PINES |
| Entity Type | Organization |
| Authorized Contact | NEIL BONNARDEL Director Of Medical Services 754-218-2164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2019-09-09 |