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NPI Code Detail

MEDICARE: PINNACLE ACADEMY, INC.

MEDICARE: PINNACLE ACADEMY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
2225XP0200XPediatric Occupational Therapist

General Provider Information

NPI Number : 1699118299
Entity Type Code : Organization
Provider Name (Legal Business Name) : PINNACLE ACADEMY, INC.
Provider Business Mailing Address
First Line : 6215 LORRAINE RD
Second Line :
City : LAKEWOOD RANCH
State : FL
Zip : 34202-6708
Country : US
Telephone Number : 941-755-1400
Fax Number : 941-322-8118
Provider Business Practice Location Address
First Line : 6215 LORRAINE RD
Second Line :
City : LAKEWOOD RANCH
State : FL
Zip : 34202-6708
Country : US
Telephone Number : 941-755-1400
Fax Number : 941-322-8118
Authorized Official
Title or Position : OWNER
Name : DARRYL BROWN
Credential :
Telephone Number : 941-755-1400
Provider Enumeration Date : 04/12/2013
Last Update Date : 08/07/2023

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Practice Location Address:
6215 LORRAINE RD
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1801555701 — BETHANY KATE RENDEMONTI
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1780313668 — LAUREN K ABREMSKI MED , MS CCC- SLP
Practice Location Address:
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Practice Fax:

Directions to “PINNACLE ACADEMY, INC. ” Practice Location

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