Organization
PINNACLE REHABILITATION GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH PALESTRANT (OWNER)
(772) 222-5411
Entity
Organization
Contact information
Practice address
1680 SE LYNGATE DR STE 204, PORT SAINT LUCIE, FL 34952-4300
(772) 222-5411
(772) 237-5496
Mailing address
1680 SE LYNGATE DR STE 204, PORT SAINT LUCIE, FL 34952-4300
(772) 222-5411
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
04/24/2019
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