| NPI | 1609301308 |
|---|---|
| Doing Business As | PATH MEDICAL - LAKELAND |
| Entity Type | Organization |
| Authorized Contact | NEIL BONNARDEL Director Of Medical Services 754-218-2164 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X (Licence: FL HCC9137) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2019-09-09 |