Healthcare Provider Details

I. General information

NPI: 1669397873
Provider Name (Legal Business Name): PATHVUE HEALTH HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7790 NW 79TH AVE APT G2
TAMARAC FL
33321-9004
US

IV. Provider business mailing address

7790 NW 79TH AVE APT G2
TAMARAC FL
33321-9004
US

V. Phone/Fax

Practice location:
  • Phone: 954-670-4523
  • Fax:
Mailing address:
  • Phone: 954-670-4523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MARSHA JUREIDINI
Title or Position: OWNER
Credential:
Phone: 954-670-4523