Healthpath Medical Center, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

HCC9758 Issued in FL

Legal business name

HEALTHPATH MEDICAL CENTER, LLC

Practice address

201 NW 82ND Ave Ste 203B
Plantation, FL 33324-1854

Phone

(954) 472-7169

Fax

(954) 473-3313

NPI assigned

Apr 9, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert P. Hostler

Title

Director/Ceo/President

Phone

(703) 359-7200

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1053754028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NW 82ND AVE STE 203B",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241854",
            "telephone_number": "954-472-7169",
            "fax_number": "954-473-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NW 82ND AVE STE 203B",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241854",
            "telephone_number": "954-472-7169",
            "fax_number": "954-473-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHPATH MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "HOSTLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DIRECTOR/CEO/PRESIDENT",
        "authorized_official_telephone_number": "703-359-7200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "23433",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "HCC9758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Plantation, FL
• Providers in Plantation, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.