| Pinnacle Health Group Pa | |
|
2605 W Swann Ave Ste 100 Tampa FL 33609-4039 | |
| (813) 874-5500 | |
| (813) 874-5505 |
| Full Name | Pinnacle Health Group Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2605 W Swann Ave, Tampa, Florida |
| Authorized Official Name and Position | Sam Diasti (PRESIDENT) |
| Authorized Official Contact | 8138745500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Health Group Pa Po Box 18344 Tampa FL 33679-8344 Ph: (813) 874-5500 | Pinnacle Health Group Pa 2605 W Swann Ave Ste 100 Tampa FL 33609-4039 Ph: (813) 874-5500 |
| NPI Number | 1023004231 |
|---|---|
| Provider Enumeration Date | 09/22/2005 |
| Last Update Date | 03/31/2022 |
| Medicare PECOS PAC ID | 6507823440 |
|---|---|
| Medicare Enrollment ID | O20041213000732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023004231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME71925 (Florida) | Primary |
| Provider Name | Rafael M Bonilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659477305 PECOS PAC ID: 2961462007 Enrollment ID: I20041013001080 |
| Provider Name | Sam Diasti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730175944 PECOS PAC ID: 4486611324 Enrollment ID: I20041214000811 |
| Provider Name | Cheryl A Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447222914 PECOS PAC ID: 5092742551 Enrollment ID: I20050726000989 |
| Provider Name | Yvonne O Latimer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841300662 PECOS PAC ID: 2668449430 Enrollment ID: I20080710000746 |
| Provider Name | Jennifer Dawn Clyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073179602 PECOS PAC ID: 8527356526 Enrollment ID: I20190611000805 |
| Provider Name | Sara Elizabeth Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003425232 PECOS PAC ID: 1850718750 Enrollment ID: I20200824001607 |
| Provider Name | Huy Duc Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255865622 PECOS PAC ID: 6002227543 Enrollment ID: I20201204000939 |
| Provider Name | Hadeel E Ali Hamdan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407501752 PECOS PAC ID: 3072907195 Enrollment ID: I20220304002004 |
| Provider Name | Heidi Bohlmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457388464 PECOS PAC ID: 1850331703 Enrollment ID: I20220308002784 |
| Provider Name | Joette L Giovinco |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1356351860 PECOS PAC ID: 7911002118 Enrollment ID: I20230818001783 |
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Eugene A Ward M.d. Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3450 E Fletcher Avenue, Suite 310, Tampa, FL 33613 Phone: 813-972-1654 Fax: 813-972-7176 | |
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