PATH MEDICAL - POMPANO
NPI 1407358476
Clinic/Center - Health Service in Pompano Beach, FL

Active since March 06, 2018
601 E SAMPLE RD STE 102&109, POMPANO BEACH, FL 33064(954) 941-7410(954) 941-7441 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 16, 2018, Mar 6, 2018 (2 updates tracked since 2018).

  • Organization
  • Clinic/Center
  • Health Service

About PATH MEDICAL - POMPANO

This page provides the complete NPI Profile along with additional information for Path Medical - Pompano, a provider established in Pompano Beach, Florida operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1407358476 assigned on March 2018. The practitioner's primary taxonomy code is 261QH0100X with license number HCC11212 (FL). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Path Medical - Pompano. The authorized official of this NPI record is Ms. Anicia O Vicente Ma (Billing Director)

NPI
1407358476 Verify this NPI
Provider Legal Name
PATH MEDICAL, LLC
Other Organization Name
PATH MEDICAL - POMPANO
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
601 E SAMPLE RD STE 102&109 POMPANO BEACH, FL 33064
Location Phone
(954) 941-7410
Location Fax
(954) 941-7441
Mailing Address
6220 S ORANGE BLOSSOM TRL STE 200 ORLANDO, FL 32809
Mailing Phone
(407) 367-5160
Mailing Fax
(407) 730-9928
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-06-2018
Last Update Date
06-16-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License No.
HCC11212
License State
FL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. ANICIA O VICENTE MA

Authorized Official Title
BILLING DIRECTOR
Authorized Official Phone
(407) 367-5160

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
475580767OTHER (01)FLPIP

Reviews for PATH MEDICAL - POMPANO

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407358476, enumerated as an "organization" on March 06, 2018.

The provider is located at 601 E SAMPLE RD STE 102&109 POMPANO BEACH, FL 33064 and the phone number is (954) 941-7410.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.