Healthcare Provider Details

I. General information

NPI: 1841125945
Provider Name (Legal Business Name): PINNACLE SOUTH FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4308 ALTON RD STE 720
MIAMI BEACH FL
33140-4557
US

IV. Provider business mailing address

4308 ALTON RD STE 720
MIAMI BEACH FL
33140-4557
US

V. Phone/Fax

Practice location:
  • Phone: 305-405-6910
  • Fax:
Mailing address:
  • Phone: 305-405-6910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207NP0225X
TaxonomyPediatric Dermatology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: GABRIEL E SALLOUM
Title or Position: SOLE MBR
Credential: MD
Phone: 305-405-6910