PIONEER MEDICAL GROUP, PL

Provider Demographics

• NPI: 1710315775
• Name: PIONEER MEDICAL GROUP, PL
• Entity Type: Organization
• Organization Name: PIONEER MEDICAL GROUP, PL
• Authorized Official - Title/Position: OWNER
• Authorized Official - First Name: SYED
• Authorized Official - Middle Name: I
• Authorized Official - Last Name: ALI
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 813-779-6303
• Mailing Address - Street 1: 13067 N TELECOM PKWY
• Mailing Address - City: TEMPLE TERRACE
• Mailing Address - State: FL
• Mailing Address - Zip Code: 33637-0926
• Mailing Address - Country: US
• Mailing Address - Phone: 813-779-6303
• Mailing Address - Fax: 888-977-1998
• Practice Address - Street 1: 13067 N TELECOM PKWY
• Practice Address - City: TEMPLE TERRACE
• Practice Address - State: FL
• Practice Address - Zip Code: 33637-0926
• Practice Address - Country: US
• Practice Address - Phone: 813-779-6303
• Practice Address - Fax: 888-977-1998
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2013-10-29
• Last Update Date: 2020-06-05

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine		Group - Multi-Specialty
No	207Q00000X	Allopathic & Osteopathic Physicians	Family Medicine		Group - Multi-Specialty
No	207RC0200X	Allopathic & Osteopathic Physicians	Internal Medicine	Critical Care Medicine	Group - Multi-Specialty
No	207RG0300X	Allopathic & Osteopathic Physicians	Internal Medicine	Geriatric Medicine	Group - Multi-Specialty
No	207RP1001X	Allopathic & Osteopathic Physicians	Internal Medicine	Pulmonary Disease	Group - Multi-Specialty
No	2084N0400X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology	Neurology	Group - Multi-Specialty
No	208M00000X	Allopathic & Osteopathic Physicians	Hospitalist		Group - Multi-Specialty
No	363A00000X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant		Group - Multi-Specialty
No	363L00000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner		Group - Multi-Specialty
No	363LA2100X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Acute Care	Group - Multi-Specialty
No	363LA2200X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Adult Health	Group - Multi-Specialty
No	363LC0200X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Critical Care Medicine	Group - Multi-Specialty
No	363LF0000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Family	Group - Multi-Specialty
No	363LP0808X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Psychiatric/Mental Health	Group - Multi-Specialty
No	363LW0102X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Women's Health	Group - Multi-Specialty