Path Medical- Port St. Lucie – Clinic/Center, NPI 1003276635

Path Medical- Port St. Lucie is a healthcare provider. based in Plantation, Florida. specializing in Clinic/Center. The NPI Number for Path Medical- Port St. Lucie is 1003276635

Main info

Organization
Name
Path Medical- Port St. Lucie
NPI
1003276635
Phone
(954) 473-0004
Address
8138 W BROWARD BLVD
Authorized Official
DR. NEIL BONNARDEL DIRECTOR OF MEDICAL SERVICES MD
Enumeration Date
24 February 2016
Last Update Date
5 February 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness80
Years active:10State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Path Medical- Port St. Lucie

  • 8138, West Broward Boulevard, Plantation, Broward County, Florida, 33317, United States

    PLANTATION, FL 333242000

    Phone: (954) 473-0004

    Fax: (954) 473-0029

    Type: Location

  • 549 NW LAKE WHITNEY PL STE 101

    PORT ST LUCIE, FL 349861606

    Phone: (772) 732-7874

    Fax: (772) 300-9093

    Type: Location

  • 2304, West Oakland Park Boulevard, Royal Palm Isles, Oakland Park, Broward County, Florida, 33311, United States

    OAKLAND PARK, FL 333111422

    Phone: (754) 218-2164

    Fax: (954) 473-0029

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33324)

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Reviews

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Frequently asked questions

What is Path Medical- Port St. Lucie's NPI number?
Path Medical- Port St. Lucie's NPI is 1003276635 — the number used across U.S. healthcare to identify this provider.
Would Path Medical- Port St. Lucie appear as active to a payer?
You can treat Path Medical- Port St. Lucie as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is Path Medical- Port St. Lucie?
Path Medical- Port St. Lucie is associated with Clinic/Center in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Path Medical- Port St. Lucie?
Travel planning: use Plantation, Florida as the reference point for Path Medical- Port St. Lucie, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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