PATH MEDICAL, LLC (NPI# 1457897241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457897241 |
| Entity Type | Organization |
| Organization Name | PATH MEDICAL, LLC |
| Other Organization Name | PATH MEDICAL - CUTLER BAY |
| Practice Address |
11285 Sw 211th St Ste 302 Miami FL 33189-2213 |
| Mailing Address |
2304 W Oakland Park Blvd Oakland Park FL 33311-1422 |
| Practice Telephone | 3869602345 |
| Practice Fax Number | 3869602350 |
| Mailing Telephone | 7542182164 |
| Mailing Fax Number | 4077309928 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | DR. NEIL BONNARDALE (DIRECTOR OF MEDICAL SERVICES) |
| Authorized Official Telephone | 7542182164 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | Y |
| Parent Organization Name | PATH MEDICAL CENTER HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
HCC8638 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Path Medical - Cutler Bay | Doing Business As Name - Organization |
| Path Medical - Deltona | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407358476 | Path Medical, LLC | Clinic/Center | 601 E Sample Rd Ste 102&109, Pompano Beach, FL 33064-4443 | 2018-03-06 |
| 1922500545 | Path Medical, LLC | Clinic/Center | 2900 N Military Trl Ste 120, Boca Raton, FL 33431-6347 | 2018-02-28 |
| 1588162838 | Path Medical, LLC | Clinic/Center | 4255 W Commercial Blvd, Tamarac, FL 33319-3305 | 2018-01-31 |
| 1316454788 | Path Medical, LLC | Clinic/Center | 859 Park Ave Ste 102, Orange Park, FL 32073-4151 | 2018-01-06 |
| 1972010346 | Path Medical, LLC | Clinic/Center | 9119 Merrill Rd Ste 32, Jacksonville, FL 32225-4306 | 2018-01-06 |
| 1477089688 | Path Medical, LLC | Clinic/Center | 6220 S Orange Blossom Trl Ste 606, Orlando, FL 32809-4688 | 2017-05-08 |
| 1609301308 | Path Medical, LLC | Clinic/Center | 809 S Florida Ave, Lakeland, FL 33801-5234 | 2017-05-01 |
| 1639603699 | Path Medical, LLC | Clinic/Center | 131 Patterson Rd, Haines City, FL 33844-7803 | 2017-04-17 |
| 1386185189 | Path Medical, LLC | Clinic/Center | 14824 N Florida Ave Ste A, Tampa, FL 33613-1844 | 2017-03-13 |
| 1518408533 | Path Medical, LLC | Clinic/Center | 3140 34th St N, St Petersburg, FL 33713-2404 | 2017-03-09 |
| Street Address |
11285 SW 211TH ST STE 302 |
| City | MIAMI |
| State | FL |
| Zip Code | 33189-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275185910 | Maritza Gonzalez | Massage Therapist | 11255 Sw 211th Street, Miami, FL 33189 | 2019-07-12 |
| 1093292617 | Marlen Hernandez | Behavior Technician | 21340 S Sw 112 Ave, 201, Miami, FL 33189 | 2018-07-26 |
| 1811487705 | Innovative Minds Aba | Behavioral Analyst | 8848 Sw 211th Ln, Cutler Bay, FL 33189 | 2018-05-16 |
| 1750871828 | Patricia Yassa | Optometrist | 20505 S Dixie Hwy Ste 559, Cutler Bay, FL 33189 | 2018-05-15 |
| 1447751748 | Asline Charles-marc I | Behavioral Analyst | 20872 Sw 90 Pl, Cutler Bay, FL 33189 | 2018-02-22 |
| 1982115713 | Licet Dorta | Assistant Behavior Analyst | 9234 Sw 211th Ln, Cutler Bay, FL 33189 | 2017-10-19 |
| 1447774765 | Alexandra M Berlus | Behavior Technician | 8405 Sw 197th Terrace, Cutler Bay, FL 33189 | 2017-07-28 |
| 1710400577 | Nirmala Gokool | Behavior Technician | 1000 Bahama Drive, Miami, FL 33189 | 2017-07-24 |
| 1720500630 | Yusanny Gonzalez Cuadra | Behavior Technician | 8852 Sw 209th Terr, Miami, FL 33189 | 2017-07-12 |
| 1720500671 | The Therapy Company | Community/Behavioral Health | 9241 Sw 212th Terrace, Cutler Bay, FL 33189 | 2017-07-12 |
| Find all providers in zip 33189 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894361 | Yemaya Medical Center LLC | Clinic/Center | 2141 Sw 1st St Ste 206a, Miami, FL 33135-5603 | 2020-05-29 |
| 1568005411 | Depena Health Group LLC | Clinic/Center | 7171 Sw 24th St Ste 316, Miami, FL 33155-1692 | 2019-10-23 |
| 1356990444 | Rehab Center Ag Inc | Clinic/Center | 1250 Sw 27th Ave Ste 506, Miami, FL 33135-4751 | 2019-09-10 |
| 1881240935 | Contender Recovery | Clinic/Center | 6821 Sw 44th St Apt 304, Miami, FL 33155-4758 | 2019-08-14 |
| 1891293668 | Petersen Medical Corp. | Clinic/Center | 7235 Coral Way Ste 213, Miami, FL 33155-1452 | 2018-01-26 |
| 1437661683 | Cora Health Services Inc | Clinic/Center | 6790 Coral Way, Miami, FL 33155-1702 | 2017-10-27 |
| 1548772049 | Cora Health Services Inc | Clinic/Center | 15449 Sw 137th Ave, Miami, FL 33177-1279 | 2017-10-25 |
| 1598276784 | Premier Pain Medical Center, Inc. | Clinic/Center | 3399 Nw 72nd Ave Ste 101, Miami, FL 33122-1355 | 2017-10-16 |
| 1386154029 | Pro Medical Institute Inc | Clinic/Center | 330 Sw 27th Ave Ste 604, Miami, FL 33135-2968 | 2017-10-09 |
| 1477078947 | Motion Recovery Corp | Clinic/Center | 12595 Sw 137th Ave Ste 104, Miami, FL 33186-4218 | 2017-08-07 |
| Find all providers in MIAMI | ||||
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| 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.