Provider Demographics
NPI:1376939264
Name:PINNACLE MEDICAL, INC
Entity Type:Organization
Organization Name:PINNACLE MEDICAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-951-6800
Mailing Address - Street 1:5917 S CONGRESS AVE
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-1303
Mailing Address - Country:US
Mailing Address - Phone:561-966-6322
Mailing Address - Fax:561-795-2224
Practice Address - Street 1:10229 OKEECHOBEE BLVD
Practice Address - Street 2:C1
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1403
Practice Address - Country:US
Practice Address - Phone:561-951-6800
Practice Address - Fax:561-795-2224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-08
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4332207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty