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PATH MEDICAL - LONGWOOD
NPI 1740726538
Clinic/Center - Rehabilitation in Longwood, FL

Active since January 17, 2017
851 E STATE ROAD 434 STE 126, LONGWOOD, FL 32750(407) 379-1330(407) 379-1335 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, Jan 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
  • Rehabilitation

About PATH MEDICAL - LONGWOOD

This page provides the complete NPI Profile along with additional information for Path Medical - Longwood, a provider established in Longwood, Florida operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1740726538 assigned on January 2017. The practitioner's primary taxonomy code is 261QR0400X with license number HCC7962 (FL). 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 - Longwood. The authorized official of this NPI record is Dr. Neil Bonnardel Md (Director Of Medical Services)

NPI
1740726538 Verify this NPI
Provider Legal Name
PATH MEDICAL, LLC
Other Organization Name
PATH MEDICAL - LONGWOOD
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
851 E STATE ROAD 434 STE 126 LONGWOOD, FL 32750
Location Phone
(407) 379-1330
Location Fax
(407) 379-1335
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
01-17-2017
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 Rehabilitation

Taxonomy Code
261QR0400X
Type
Ambulatory Health Care Facilities
License No.
HCC7962
License State
FL

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 - LONGWOOD

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Frequently Asked Questions

What is PATH MEDICAL, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1740726538, enumerated as an "organization" on January 17, 2017.

Where is the provider located?

The provider is located at 851 E STATE ROAD 434 STE 126 LONGWOOD, FL 32750 and the phone number is (407) 379-1330.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.