Pinnacle Family Medicine Pa

LBN: Pinnacle Family Medicine Pa
Pinnacle Family Medicine Pa is an health care organization with primary practice located at 120 Medical Blvd Suite 108, Spring Hill FL 34609-0220. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Pinnacle Family Medicine Pa can be contacted via phone (352) 688-2118, or through Sullivan, Charles C via phone (352) 688-2118.

Contact Information

Primary practice address
120 Medical Blvd Suite 108 Spring Hill FL 34609-0220
Phone: (352) 688-2118
Fax: (352) 688-3118
Website:
Map and Directions
Authorized official contact:
Name: Sullivan, Charles C MD MBA
Phone: (352) 688-2118

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME88431 Florida

Profile Details

NPI number 1265644876
LBN Legal business name Pinnacle Family Medicine Pa
DBA Doing business as
Authorized official Sullivan, Charles C MD MBA
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2007
Last updated May 2nd, 2008 - about 18 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 1265644876 NPPES
Florida Other K5407 MEDICARE ID
Florida Other 37656 MEDICARE ID

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