Provider Demographics
NPI: | 1386196384 |
---|---|
Name: | PINNACLE FAMILY SERVICES OF FLORIDA |
Entity type: | Organization |
Organization Name: | PINNACLE FAMILY SERVICES OF FLORIDA |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OFFICE MANAGER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ELSIE |
Authorized Official - Middle Name: | RODRIGUEZ |
Authorized Official - Last Name: | ALARCON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 786-735-2020 |
Mailing Address - Street 1: | 10631 N KENDALL DR |
Mailing Address - Street 2: | SUITE 155 |
Mailing Address - City: | MIAMI |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33176-1568 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 305-735-2005 |
Mailing Address - Fax: | 786-735-3418 |
Practice Address - Street 1: | 5114 OKEECHOBEE BLVD BLDG SUITE110 |
Practice Address - Street 2: | |
Practice Address - City: | WEST PALM BEACH |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33417-4503 |
Practice Address - Country: | US |
Practice Address - Phone: | 612-572-9625 |
Practice Address - Fax: | 561-293-8315 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-10-26 |
Last Update Date: | 2020-11-13 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 253J00000X | Agencies | Foster Care Agency | |
No | 251S00000X | Agencies | Community/Behavioral Health |