Provider Demographics
NPI:1598376550
Name:PINNACLE MOBILE HEALTH, INC.
Entity Type:Organization
Organization Name:PINNACLE MOBILE HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:GABRIELLE
Authorized Official - Last Name:OTERO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, PT
Authorized Official - Phone:407-902-9161
Mailing Address - Street 1:303 E WOOLBRIGHT RD # 255
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-6010
Mailing Address - Country:US
Mailing Address - Phone:407-902-9162
Mailing Address - Fax:561-962-1567
Practice Address - Street 1:1499 S FEDERAL HWY APT S338
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-6073
Practice Address - Country:US
Practice Address - Phone:407-922-7622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health