OrganizationActive
Nutrition Pathways LLC
NPI 1538032610 · Medical Foods Supplier · Immokalee, FL
Provider details
- NPI number
- 1538032610
- Entity type
- Organization
- Primary specialty
- Medical Foods SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Paul Thein, Authorized Official(239) 302-9223
Specialties & taxonomies
Suppliers
Practice location
170 Airpark Blvd # 103
Immokalee, FL 34142-3833
Phone: (239) 217-4888
Approximate (ZIP-level) locationGet directions
Mailing address
750 S 5th St Ste 100d
Immokalee, FL 34142-4301
Registry dates
- Enumerated
- 2025-09-25
- Last updated
- 2025-09-25
- Certified
- 2025-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.