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Organization
PINNACLE HEALTH GROUP P.A.
Active
Organization
PINNACLE HEALTH GROUP P.A.
Active
Parent organization
PINNACLE HEALTH GROUP P.A.
Other names
Pinnacle Health Group Wesley Chapel
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINNACLE HEALTH GROUP P.A.
Authorized official
SAM DIASTI MD (PRESIDENT/MEDICAL DIRECTOR)
(813) 874-5500
Entity
Organization
Contact information
Practice address
2590 HEALING WAY STE 110, WESLEY CHAPEL, FL 33543-5496
(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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME71925
MED LICENSE
FL
Enumeration date
03/24/2022
Last updated
03/31/2022
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