NPI | 1407358476 |
---|---|
Doing Business As | PATH MEDICAL - POMPANO |
Entity Type | Organization |
Authorized Contact | ANICIA O VICENTE Billing Director 407-367-5160 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC11212) |
Enumeration Date | 2018-03-06 |
Last Update Date | 2018-06-16 |