PATH MEDICAL - ORANGE PARK
NPI 1316454788
Clinic/Center - Health Service in Orange Park, FL

Active since January 06, 2018
859 PARK AVE STE 102, ORANGE PARK, FL 32073(904) 278-7411(855) 831-2251 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Path Medical - Orange Park NPPES

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

PATH MEDICAL - ORANGE PARK (NPI 1316454788) is a healthcare organization registered as a health service in Orange Park, Florida and active in the NPI registry since January 2018. The organization lists Anicia O Vicente, Billing Directo, as its authorized official.

NPPES Registry Identity

NPI1316454788
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NamePATH MEDICAL, LLC
Location Address859 PARK AVE STE 102Orange Park, FL 32073-4151
Mailing Address6220 S Orange Blossom Trl Ste 200Orlando, FL 32809-4678
Fax(855) 831-2251
Organization SubpartYesParent: Path Medical Centers Holding, Inc
Authorized OfficialAnicia O VicenteBilling Directo · (407) 367-5160
Enumeration DateJanuary 6, 2018
Last NPPES UpdateJune 16, 2018
NPI 1316454788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License Licensed in FL · HCC11223
859 PARK AVE STE 102, Orange Park, FL 32073

Other Names 1

Doing Business AsPath Medical - Orange Park

Other Identifiers 1

Other475580767FL · Pip

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Health Service)
859 PARK AVE STE 102
ORANGE PARK, FL 32073
Anesthesiology (Pediatric Anesthesiology)
859 PARK AVE STE 102
ORANGE PARK, FL 32073

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 1316454788. It was assigned to this organization in the NPPES registry on January 6, 2018. The provider is doing business as Path Medical - Orange Park.

Where is Path Medical, LLC located?

Path Medical, LLC is located at 859 Park Ave Ste 102, Orange Park, FL 32073. The listed phone number is (904) 278-7411.

What is Path Medical, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Path Medical, LLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.