PATH MEDICAL - NORTHSIDE
NPI 1972010346
Clinic/Center - Health Service in Jacksonville, FL

Q: What is Path Medical, LLC's NPI number?

The NPI number for Path Medical, LLC is 1972010346. It was assigned to this organization in the NPPES registry on January 6, 2018. The provider is doing business as Path Medical - Northside and Path Medical- Arlington.

Q: 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.

Q: 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.

Active since January 06, 2018

9119 MERRILL RD STE 32, JACKSONVILLE, FL 32225(904) 575-3695(855) 831-2252 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, Mar 17, 2018 (2 updates tracked since 2018).

On this page

About Path Medical - Northside NPPES

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

PATH MEDICAL - NORTHSIDE (NPI 1972010346) is a healthcare organization registered as a health service in Jacksonville, Florida and active in the NPI registry since January 2018. The organization maintains a secondary practice location in Jacksonville and lists Anicia O Vicente, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1972010346

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NamePATH MEDICAL, LLC

Location Address9119 MERRILL RD STE 32Jacksonville, FL 32225-4306

Mailing Address6220 S Orange Blossom Trl Ste 200Orlando, FL 32809-4678 · (407) 367-5160 · Fax (407) 730-9928

Phone(904) 575-3695

Fax(855) 831-2252

Organization SubpartYesParent: Path Medical Center Holdings, Inc

Authorized OfficialAnicia O VicenteDirector Of Billing · (407) 367-5166

Enumeration DateJanuary 6, 2018

Last NPPES UpdateJune 16, 20182 updates tracked since enumeration

✔ NPI 1972010346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

Licenses✔ Licensed in FL · HCC11222✔ Licensed in FL · HCC11220

9119 MERRILL RD STE 32, Jacksonville, FL 32225

Open in Google Maps ↗

Other Names 2

Doing Business AsPath Medical - Northside

Doing Business AsPath Medical- Arlington

Secondary Practice Location 1

Location 12386 Dunn Ave Ste 109Jacksonville, FL 32218-4751 · Phone (904) 854-2147 · Fax (904) 619-8271

Other Identifiers 1

Other475580767FL · Pip

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 1972010346. It was assigned to this organization in the NPPES registry on January 6, 2018. The provider is doing business as Path Medical - Northside and Path Medical- Arlington.

Where is Path Medical, LLC located?

Path Medical, LLC is located at 9119 Merrill Rd Ste 32, Jacksonville, FL 32225. The listed phone number is (904) 575-3695.

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.