| Pinnacle Medical Group Pa | |
|
315 75th St W Bradenton FL 34209-3201 | |
| (941) 761-1998 | |
| (941) 761-0395 |
| Full Name | Pinnacle Medical Group Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 315 75th St W, Bradenton, Florida |
| Authorized Official Name and Position | Marc Stephen Kallins (PRESIDENT) |
| Authorized Official Contact | 9417500602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Medical Group Pa 315 75th St W Bradenton FL 34209-3201 Ph: (941) 761-1998 | Pinnacle Medical Group Pa 315 75th St W Bradenton FL 34209-3201 Ph: (941) 761-1998 |
| NPI Number | 1316963077 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 07/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316963077 | NPI | - | NPPES |
| 254897605 | Medicaid | FL | |
| CH1832 | Other | FL | MEDICARE RAILROAD |
| 254897600 | Medicaid | FL | |
| 254897602 | Medicaid | FL | |
| 254897603 | Medicaid | FL | |
| CN7277 | Other | FL | MEDICARE RAILROAD |
| 21818 | Other | FL | BCBS |
| 254897601 | Medicaid | FL | |
| 254897604 | Medicaid | FL |
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