Pinnacle Health Group Pa

LBN: Pinnacle Health Group Pa
Pinnacle Health Group Pa is an health care organization with primary practice located at 1601 W Reynolds St Ste 201 , Plant City FL 33563-4747. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Pinnacle Health Group Pa can be contacted via phone (813) 874-5500, or through Diasti, Sam via phone (813) 874-5500.

Contact Information

Primary practice address
1601 W Reynolds St Ste 201 Plant City FL 33563-4747
Phone: (813) 874-5500
Fax: (813) 874-5505
Website:
Map and Directions
Authorized official contact:
Name: Diasti, Sam Doctor of Medicine (MD)
Phone: (813) 874-5500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1073262168
LBN Legal business name Pinnacle Health Group Pa
DBA Doing business as
Authorized official Diasti, Sam Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2022
Last updated Mar 31st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073262168 NPPES
Florida MEDICAID 27330300
Florida Other ME71925

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