Path Medical, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

HCC8985 Issued in FL

Legal business name

PATH MEDICAL, LLC

Doing business as

Path Medical - Apex

Practice address

6148 Hanging Moss Rd Ste 100
Orlando, FL 32807-3792

Phone

(321) 295-7977

Fax

(321) 295-7979

NPI assigned

Jan 17, 2017

Last updated

Jan 17, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

PATH MEDICAL CENTER HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Anicia O Vicente, MA

Title

Director of Billing

Phone

(407) 399-9070

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Path Medical - Apex Doing business as

Part of

Path Medical LLC

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1174069967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638500",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452638500",
            "telephone_number": "407-367-5160",
            "fax_number": "407-730-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6148 HANGING MOSS RD STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073792",
            "telephone_number": "321-295-7977",
            "fax_number": "321-295-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH MEDICAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATH MEDICAL CENTER HOLDINGS, INC.",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "VICENTE",
        "authorized_official_first_name": "ANICIA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "407-399-9070",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "HCC8985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIP",
            "identifier": "475580767",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Path Medical - Apex",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virendra Gopal Patel, RPH
• Virenkumar B Patel, PHARMACIST
• Vivek Patel, M.D.
• Vrunda Patel, PHARM.D.
• Vyoma Patel
• Path Medical, LLC (Path Medical - East)
• Path Medical, LLC (Path Medical - OBT)
• Bandana Pathak, MD
• Christian Pathak, M.D., PHD
• Rahul Pathak, M.D.

• Rehabilitation Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.