HEALTHPATH MEDICAL CENTER, LLC (NPI# 1053754028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053754028 |
Entity Type | Organization |
Organization Name | HEALTHPATH MEDICAL CENTER, LLC |
Practice Address |
201 Nw 82nd Ave Ste 203b Plantation FL 33324-1854 |
Practice Telephone | 9544727169 |
Practice Fax Number | 9544733313 |
Mailing Telephone | 9544727169 |
Mailing Fax Number | 9544733313 |
Enumeration Date | 2013-04-09 |
Last Update Date | 2020-10-21 |
Authorized Official Name | MR. ROBERT P. HOSTLER (DIRECTOR/CEO/PRESIDENT) |
Authorized Official Telephone | 7033597200 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
23433 | FL | Ambulatory Health Care Facilities |
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
HCC9758 | FL | Ambulatory Health Care Facilities |
Street Address |
201 NW 82ND AVE STE 203B |
City | PLANTATION |
State | FL |
Zip Code | 33324-1854 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
Find all providers in zip 33324 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790246148 | South Florida Sports and Preventive Medicine Inc | Clinic/Center | 510 Nw 84th Ave Apt 440, Plantation, FL 33324-1874 | 2019-03-28 |
1881941821 | Aiken's Primary Care LLC | Clinic/Center | 5975 W Sunrise Blvd Ste 105, Plantation, FL 33313-6801 | 2012-08-09 |
1306142195 | Cynthia M Auerbach | Clinic/Center | 6201 Almond Ter, Plantation, FL 33317-2562 | 2011-01-27 |
1558497370 | Kids Klinic, Broward Children Center | Clinic/Center | 1055 Sw 44th Ave, Plantation, FL 33317-4535 | 2007-02-26 |
1922160225 | Pediatrics Care Plus | Clinic/Center | 301 Nw 84th Ave Ste 203, Plantation, FL 33324-1807 | 2006-12-14 |
1942848833 | Mahogany Health Center Inc | Clinic/Center | 660 N State Road 7 Ste 4, Plantation, FL 33317-2117 | 2019-12-11 |
1124526520 | Wn Medical Inc | Clinic/Center | 499 Nw 70th Ave, Plantation, FL 33317-7500 | 2018-01-31 |
1861844227 | Nancy Pyram-bernard Do LLC Lice Source Services & Sffhrc | Clinic/Center | 6971 W Sunrise Blvd, Suite 102, Plantation, FL 33313-4407 | 2016-07-11 |
1912358169 | Dhgmso | Clinic/Center | 201 Nw 70th Ave, Suite D, Plantation, FL 33317-2369 | 2016-06-29 |
1861741167 | Sabiha Khan Md Pa | Clinic/Center | 201 Nw 82 Avenue, Plantation, FL 33324-1854 | 2012-08-31 |
Find all providers in PLANTATION |
City | PLANTATION |
Zip Code | 33324 |
Please comment or provide details below to improve the information on HEALTHPATH MEDICAL CENTER, LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.