Path To Progressive Health Care

LBN: Path To Progressive Health Care
Path To Progressive Health Care is an health care organization with primary practice located at 4174 Corsair Ave , Kissimmee FL 34741-2949. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Path To Progressive Health Care can be contacted via phone (321) 805-0282, or through Matias, Lewdy Enid via phone (321) 805-0282.

Contact Information

Primary practice address
4174 Corsair Ave Kissimmee FL 34741-2949
Phone: (321) 805-0282
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Matias, Lewdy Enid
Phone: (321) 805-0282

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1356867717
LBN Legal business name Path To Progressive Health Care
DBA Doing business as
Authorized official Matias, Lewdy Enid
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2017
Last updated Jul 21st, 2022 - about 3 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 1356867717 NPPES
Florida MEDICAID 13568687717

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