Path Medical - Orange Park

LBN: Path Medical, Llc
Path Medical - Orange Park is an health care organization with primary practice located at 859 Park Ave Ste 102 , Orange Park FL 32073-4151. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Path Medical, Llc can be contacted via phone (904) 278-7411, or through Vicente, Anicia O via phone (407) 367-5160.

Contact Information

Primary practice address
859 Park Ave Ste 102 Orange Park FL 32073-4151
Phone: (904) 278-7411
Fax: (855) 831-2251
Website:
Map and Directions
Authorized official contact:
Name: Vicente, Anicia O Master of Arts (MA)
Phone: (407) 367-5160

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X HCC11223 Florida

Profile Details

NPI number 1316454788
LBN Legal business name Path Medical, Llc
DBA Doing business as Path Medical - Orange Park
Authorized official Vicente, Anicia O Master of Arts (MA)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 6th, 2018
Last updated Jun 16th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316454788 NPPES
Florida Other 475580767 PIP

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