Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pathway Pediatric Center LLC

Organization Pediatrics Physician · NPI 1790493096

Pathway Pediatric Center LLC is a Pediatrics Physician in Georgetown, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

137 S Lake George Dr
Georgetown, FL 32139-3109
Phone: (386) 316-3904
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1790493096
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aspen Neace — Ar · (386) 316-3904
NPI enumeratedNovember 7, 2022
Last updated in NPPESNovember 7, 2022
Certification dateNovember 7, 2022
Mailing address137 S Lake George Dr, Georgetown, FL 32139-3109