Organization

Pinnacle Health Group Pa

Internal Medicine Physician in Tampa, FL(View on Map)

Legal Business Name

Pinnacle Health Group Pa

NPI Number

1023004231

NPI Type

Organization

Enumeration Date

09/22/2005

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ME71925

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 18344
2605 W SWANN AVE

City

Tampa
Tampa

State

FL
FL

Postal Code

33679-8344
33609-4039

Country

US
US

Telephone Number

(813) 874-5500
(813) 874-5500

Authorized Official

Name

Sam Diasti

Title or Position

PRESIDENT

Telephone Number

(813) 874-5500

Health Information Exchange

Endpoint Type

CONNECT

Endpoint

TAMPA

Endpoint Description

EHR

Use

Direct

Content Type

CSV

Affiliation

N

Endpoint Location

2605 W Swann AveSte 100Tampa, FL336094039US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/31/2022

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