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PATH MEDICAL - SOUTH TAMPA
NPI 1891236816
Clinic/Center - Rehabilitation in Brandon, FL

Active since March 09, 2017
1369 PROVIDENCE RD, BRANDON, FL 33511(813) 982-3456(813) 982-3457 Get Directions Write a Review

NPPES record last updated: September 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Path Medical - South Tampa NPPES

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

PATH MEDICAL - SOUTH TAMPA (NPI 1891236816) is a healthcare organization registered as a rehabilitation in Brandon, Florida and active in the NPI registry since March 2017. The organization lists Neil Bonnardel, Director Of Medical Services, as its authorized official.

NPPES Registry Identity

NPI1891236816
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NamePATH MEDICAL, LLC
Location Address1369 PROVIDENCE RDBrandon, FL 33511-4885
Mailing Address2304 W Oakland Park BlvdOakland Park, FL 33311-1422 · (754) 218-2164
Phone(813) 982-3456
Fax(813) 982-3457
Organization SubpartYesParent: Path Medical
Authorized OfficialNeil BonnardelDirector Of Medical Services · (754) 218-2164
Enumeration DateMarch 9, 2017
Last NPPES UpdateSeptember 9, 2019
✔ NPI 1891236816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
License✔ Licensed in FL · HCC8643
1369 PROVIDENCE RD, Brandon, FL 33511
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Other Names 1

Doing Business AsPath Medical - South Tampa

Other Providers at the Same Location NPPES

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

DR. JOSE MANUEL MEDINA SANCHEZ M.D.
Physical Medicine & Rehabilitation
1369 PROVIDENCE RD
BRANDON, FL 33511
Hillsborough County (813) 542-5274

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 1891236816. It was assigned to this organization in the NPPES registry on March 9, 2017. The provider is doing business as Path Medical - South Tampa.

Where is Path Medical, LLC located?

Path Medical, LLC is located at 1369 Providence Rd, Brandon, FL 33511. The listed phone number is (813) 982-3456.

What is Path Medical, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Path Medical, LLC was last updated on September 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.