Provider Demographics
NPI:1144560004
Name:PINNACLE INJURY
Entity type:Organization
Organization Name:PINNACLE INJURY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:NEESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-598-4047
Mailing Address - Street 1:16210 E COURSE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-1126
Mailing Address - Country:US
Mailing Address - Phone:813-598-4047
Mailing Address - Fax:
Practice Address - Street 1:16210 E COURSE DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-1126
Practice Address - Country:US
Practice Address - Phone:813-598-4047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS3968261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center