Provider Demographics
NPI:1629374004
Name:PINNACLE MEDICAL CARE LLC
Entity Type:Organization
Organization Name:PINNACLE MEDICAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:STANGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-983-1119
Mailing Address - Street 1:601 N CONGRESS AVE
Mailing Address - Street 2:SUITE 417
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-4703
Mailing Address - Country:US
Mailing Address - Phone:954-983-1119
Mailing Address - Fax:954-983-1929
Practice Address - Street 1:233 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6715
Practice Address - Country:US
Practice Address - Phone:954-983-1119
Practice Address - Fax:954-983-1929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty