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Organization
PINNACLE HEALTH GROUP PA
Active
Organization
PINNACLE HEALTH GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM DIASTI MD (PRESIDENT)
(813) 874-5500
Entity
Organization
Contact information
Practice address
2605 W SWANN AVE, STE 100, TAMPA, FL 33609-4039
(813) 874-5500
(813) 874-5505
Mailing address
PO BOX 18344, TAMPA, FL 33679-8344
(813) 874-5500
(813) 874-5505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME71925
FL
Other
Enumeration date
09/22/2005
Last updated
03/31/2022
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