| NPI | 1386185189 |
|---|---|
| Doing Business As | PATH MEDICAL - NORTH TAMPA |
| Entity Type | Organization |
| Authorized Contact | NEIL BONNARDEL Director Of Medical Services 754-218-2164 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2019-09-09 |