NPI 1538032610
Nutrition Pathways LLC
Practice location
- Address
- 170 Airpark Blvd # 103, Immokalee, FL 34142-3833
- Phone
- (239) 217-4888
- Mailing address
- 750 S 5th St STE 100d, Immokalee, FL 34142-4301
Authorised official
- Name
- Paul Thein
- Title
- Authorized Official
- Phone
- (239) 302-9223
Registered specialties
Medical Foods Supplier
Primary
Registry record
- NPI
- 1538032610
- Entity type
- Organization
- NPI issued
- 25 Sep 2025
- Record last updated
- 25 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.