| NPI | 1891236816 |
|---|---|
| Doing Business As | PATH MEDICAL - SOUTH TAMPA |
| 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 HCC8643) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2019-09-09 |