Pathology Associates of North Florida

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800027822 Issued in FL

Legal business name

PATHOLOGY ASSOCIATES OF NORTH FLORIDA

Practice address

4355 NW American LN
Lake City, FL 32055-4828

Phone

(386) 758-6094

Fax

(386) 758-6995

NPI assigned

Oct 25, 2016

Organization subpart

No

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

Authorized official

Name

Rizwana Thanawala, MDNPI 1922082833

Title

Co-Ower

Phone

(386) 758-6094

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rizwana Thanawala, MD

  • Gastroenterology Physician
  • Lake City, FL
  • NPI 1922082833
  NPD Authorized official
• Mitchell Duterte, MD

  • Gastroenterology Physician
  • Lake City, FL
  • NPI 1558345462
  NPD (past)

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1497207559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 NW AMERICAN LN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554828",
            "telephone_number": "386-758-6094",
            "fax_number": "386-758-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 NW AMERICAN LN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554828",
            "telephone_number": "386-758-6094",
            "fax_number": "386-758-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY ASSOCIATES OF NORTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "THANAWALA",
        "authorized_official_first_name": "RIZWANA",
        "authorized_official_title_or_position": "CO-OWER",
        "authorized_official_telephone_number": "386-758-6094",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800027822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ghanshyambhai K Patel, M.D.
• Minesh Arun Patel, MD
• Pratikshakumari Patel, APRN
• Rashwin Jayantilal Patel
• Shephali Patel, O.D.
• David Leland Patrick, L.C.S.W.
• Dayza J Paxton
• Anrico Peacock
• Joshua Ballard Pead, D.O.
• Taylen Peaden, D.O.

• Clinical Medical Laboratory in Lake City, FL
• Providers in Lake City, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.