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NPI Code Detail

MEDICARE: PATH MEDICAL CENTER INC

MEDICARE: PATH MEDICAL CENTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1811315468
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATH MEDICAL CENTER INC
Provider Business Mailing Address
First Line : 318 S STATE ROAD 7
Second Line :
City : MARGATE
State : FL
Zip : 33068-5703
Country : US
Telephone Number : 954-968-3939
Fax Number : 954-968-3240
Provider Business Practice Location Address
First Line : 318 S STATE ROAD 7
Second Line :
City : MARGATE
State : FL
Zip : 33068-5703
Country : US
Telephone Number : 954-968-3939
Fax Number : 954-968-3240
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : DENISE L FOGAROS ATLER
Credential :
Telephone Number : 954-735-6584
Provider Enumeration Date : 04/01/2014
Last Update Date : 04/01/2014

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Directions to “PATH MEDICAL CENTER INC ” Practice Location

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