| Healthpath Medical Center, Llc | |
|
201 Nw 82nd Ave Ste 203b Plantation FL 33324-1854 | |
| (954) 472-7169 | |
| (954) 473-3313 |
| Full Name | Healthpath Medical Center, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 201 Nw 82nd Ave Ste 203b, Plantation, Florida |
| Authorized Official Name and Position | Robert P. Hostler (DIRECTOR/CEO/PRESIDENT) |
| Authorized Official Contact | 7033597200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthpath Medical Center, Llc 201 Nw 82nd Ave Ste 203b Plantation FL 33324-1854 Ph: (954) 472-7169 | Healthpath Medical Center, Llc 201 Nw 82nd Ave Ste 203b Plantation FL 33324-1854 Ph: (954) 472-7169 |
| NPI Number | 1053754028 |
|---|---|
| Provider Enumeration Date | 04/09/2013 |
| Last Update Date | 10/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053754028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 23433 (Florida) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | HCC9758 (Florida) | Primary |
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