| P A T H Center Llc | |
|
75 Harness Ln Kissimmee FL 34743-7705 | |
| (786) 886-8695 | |
| Not Available |
| Full Name | P A T H Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 75 Harness Ln, Kissimmee, Florida |
| Authorized Official Name and Position | Walter L Ricardo (PRESIDENT) |
| Authorized Official Contact | 7868868695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| P A T H Center Llc 5545 W 24th Ave Apt 206 Hialeah FL 33016-4776 Ph: (786) 886-8695 | P A T H Center Llc 75 Harness Ln Kissimmee FL 34743-7705 Ph: (786) 886-8695 |
| NPI Number | 1518637396 |
|---|---|
| Provider Enumeration Date | 09/14/2021 |
| Last Update Date | 09/14/2021 |
| Certification Date | 09/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518637396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
News Archive
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