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PATH MEDICAL- HAINES CITY
NPI 1639603699
Clinic/Center - Health Service in Haines City, FL

Active since April 17, 2017
131 PATTERSON RD, HAINES CITY, FL 33844(407) 367-5160(407) 730-9928 Get Directions Write a Review

NPPES record last updated: September 9, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 9, 2019, Apr 17, 2017 (2 updates tracked since 2017).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Health Service

About PATH MEDICAL- HAINES CITY

This page provides the complete NPI Profile along with additional information for Path Medical- Haines City, a provider established in Haines City, Florida operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1639603699 assigned on April 2017. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Path Medical- Haines City. The authorized official of this NPI record is Dr. Neil Bonnardel Md (Director Of Medical Services)

NPI
1639603699 Verify this NPI
Provider Legal Name
PATH MEDICAL, LLC
Other Organization Name
PATH MEDICAL- HAINES CITY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
131 PATTERSON RD HAINES CITY, FL 33844
Location Phone
(407) 367-5160
Location Fax
(407) 730-9928
Mailing Address
2304 W OAKLAND PARK BLVD OAKLAND PARK, FL 33311
Mailing Phone
(754) 218-2164
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-17-2017
Last Update Date
09-09-2019
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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

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

DR. NEIL BONNARDEL MD

Authorized Official Title
DIRECTOR OF MEDICAL SERVICES
Authorized Official Phone
(754) 218-2164

Reviews for PATH MEDICAL- HAINES CITY

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Frequently Asked Questions

What is PATH MEDICAL, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1639603699, enumerated as an "organization" on April 17, 2017.

Where is the provider located?

The provider is located at 131 PATTERSON RD HAINES CITY, FL 33844 and the phone number is (407) 367-5160.

What is the provider's specialty?

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