Pinnacles Peds Care, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME 97678 Issued in FL

Legal business name

PINNACLES PEDS CARE, PA

Practice address

180 Pinnacles Dr
Suite 100
Palm Coast, FL 32164-2596

Phone

(386) 313-1963

NPI assigned

Sep 16, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vincent G Verdeflor, M.D.NPI 1972785327

Title

Director

Phone

(386) 597-2298

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vincent G Verdeflor, M.D.

  • Pediatrics Physician
  • Palm Coast, FL
  • NPI 1972785327
  NPD (past) Authorized official
• Melanie Loretta Bradley, DO

  • Pediatrics Physician
  • Ponte Vedra, FL
  • NPI 1760913057
  NPD (past)
• Zulfia Anderson, PA-C

  • Physician Assistant
  • Salinas, CA
  • NPI 1528658531
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1194033753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COLLEGE CT",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321379034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PINNACLES DR",
            "address_2": "SUITE 100",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642596",
            "telephone_number": "386-313-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLES PEDS CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "VERDEFLOR",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "386-597-2298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 97678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Debra Pigninelli, B.S.
• Courtney Pina
• Divya Pingle, M.D.
• Phillip Tsan Pingshaw Jr.
• Pinnacle Pharmacy Inc
• Maria Pinto, PH.D
• Pivotal Health Systems LLC
• Stephen J Playe, MD
• Karen Marie Plympton, A.R.N.P.
• Mary Baker Pohl, DO

• Pediatrics Physician in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.