Provider Demographics
NPI:1609119445
Name:PINNACLE FAMILY HEALTH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:PINNACLE FAMILY HEALTH SOLUTIONS, LLC
Other - Org Name:PINNACLE HEALTH SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MABE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-672-8396
Mailing Address - Street 1:7070 SEMINOLE PRATT WHITNEY RD STE 5
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-3491
Mailing Address - Country:US
Mailing Address - Phone:561-672-8396
Mailing Address - Fax:
Practice Address - Street 1:7070 SEMINOLE PRATT WHITNEY RD STE 5
Practice Address - Street 2:
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-3491
Practice Address - Country:US
Practice Address - Phone:561-672-8396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-29
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME91258207Q00000X
FLARNP3198692363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty