OrganizationActive
Path Medical, LLC
NPI 1972010346 · Health Service Clinic/Center · Jacksonville, FL
Provider details
- NPI number
- 1972010346
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Path Medical Center Holdings, Inc
- Organization subpart
- Yes
- Authorized official
- Anicia Vicente, Director of Billing(407) 367-5166
- License
- HCC11220 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
9119 Merrill Rd Ste 32
Jacksonville, FL 32225-4306
Phone: (904) 575-3695
Fax: (855) 831-2252
Street-level locationGet directions
Mailing address
6220 S Orange Blossom Trl Ste 200
Orlando, FL 32809-4678
Other names (DBA / former)
- Doing business as
- Path Medical - Northside
- Doing business as
- Path Medical- Arlington
Additional practice locations (1)
- 2386 Dunn Ave Ste 109Jacksonville, FL 32218-4751Phone: (904) 854-2147Fax: (904) 619-8271
Registry dates
- Enumerated
- 2018-01-06
- Last updated
- 2018-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.