PATH MEDICAL- PORT ST. LUCIE
NPI 1003276635
Clinic/Center in Port St Lucie, FL

Q: What is Path Medical, LLC's NPI number?

The NPI number for Path Medical, LLC is 1003276635. It was assigned to this organization in the NPPES registry on February 24, 2016. The provider is doing business as Path Medical- Port St. Lucie.

Q: What is Path Medical, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Path Medical, LLC was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 24, 2016

549 NW LAKE WHITNEY PL STE 101, PORT ST LUCIE, FL 34986(772) 732-7874(772) 300-9093 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 5, 2021, Nov 6, 2019, Sep 9, 2019 and 1 more (4 updates tracked since 2016).

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About Path Medical- Port St. Lucie NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATH MEDICAL- PORT ST. LUCIE (NPI 1003276635) is a healthcare organization registered as a clinic/center in Port St Lucie, Florida and active in the NPI registry since February 2016. The organization lists Neil Bonnardel, Director Of Medical Services, as its authorized official.

NPPES Registry Identity

NPI1003276635

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NamePATH MEDICAL, LLC

Location Address549 NW LAKE WHITNEY PL STE 101Port St Lucie, FL 34986-1606

Mailing Address2304 W Oakland Park BlvdOakland Park, FL 33311-1422 · (754) 218-2164 · Fax (954) 473-0029

Phone(772) 732-7874

Fax(772) 300-9093

Organization SubpartNo

Authorized OfficialNeil BonnardelDirector Of Medical Services · (754) 218-2164

Enumeration DateFebruary 24, 2016

Last NPPES UpdateFebruary 5, 20214 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2021

✔ NPI 1003276635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

549 NW LAKE WHITNEY PL STE 101, Port St Lucie, FL 34986

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Other Names 1

Doing Business AsPath Medical- Port St. Lucie

Other Identifiers 1

OtherHCC10776FL · State License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Path Medical, LLC's NPI number?

The NPI number for Path Medical, LLC is 1003276635. It was assigned to this organization in the NPPES registry on February 24, 2016. The provider is doing business as Path Medical- Port St. Lucie.

Where is Path Medical, LLC located?

Path Medical, LLC is located at 549 NW Lake Whitney Pl Ste 101, Port St Lucie, FL 34986. The listed phone number is (772) 732-7874.

What is Path Medical, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Path Medical, LLC was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.