NPI | 1740726538 |
---|---|
Doing Business As | PATH MEDICAL - LONGWOOD |
Entity Type | Organization |
Authorized Contact | NEIL BONNARDEL Director Of Medical Services 754-218-2164 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: FL HCC7962) |
Enumeration Date | 2017-01-17 |
Last Update Date | 2019-09-09 |