OrganizationActive
Path Medical, LLC
NPI 1477089688 · Clinic/Center · Orlando, FL
Provider details
- NPI number
- 1477089688
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Path Medical
- Organization subpart
- Yes
- Authorized official
- Neil Bonnardel, Director of Medical Services(754) 218-2164
- License
- HCC5435 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6220 S Orange Blossom Trl Ste 606
Orlando, FL 32809-4688
Phone: (407) 399-9070
Fax: (407) 730-9928
Street-level locationGet directions
Mailing address
2304 W Oakland Park Blvd
Oakland Park, FL 33311-1422
Other names (DBA / former)
- Doing business as
- Path Medical - Obt
- Doing business as
- Path Medical - Obt
Registry dates
- Enumerated
- 2017-05-08
- Last updated
- 2019-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.