| NPI | 1912443706 |
|---|---|
| Doing Business As | PATH MEDICAL - KISSIMMEE |
| Entity Type | Organization |
| Authorized Contact | NEIL BONNARDEL Director Of Medical Services 754-218-2164 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2019-11-06 |