Healthcare Provider Details

I. General information

NPI: 1699077313
Provider Name (Legal Business Name): PINNACLE INTERVENTIONAL CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2010
Last Update Date: 12/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2380 NW 7TH ST
MIAMI FL
33125-3249
US

IV. Provider business mailing address

2390 NW 7TH ST
MIAMI FL
33125-3226
US

V. Phone/Fax

Practice location:
  • Phone: 786-219-1402
  • Fax: 786-219-1404
Mailing address:
  • Phone: 786-219-1402
  • Fax: 786-219-1404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471C3402X
TaxonomyRadiography Radiologic Technologist
License Number
License Number StateFL

VIII. Authorized Official

Name: MR. ALI H JAAFAR
Title or Position: CEO
Credential:
Phone: 305-642-7388