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PINNACLE CARDIOVASCULAR ASSOCIATES INC NPI 1356766513


NPI Information

NPI: 1356766513
Provider Name: PINNACLE CARDIOVASCULAR ASSOCIATES INC

Doing Business As: CARLOS ANTONIO LECHE MD

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 10D2109620

Address:
1026 E BRANDON BLVD
BRANDON, FL
ZIP 33511
Phone: (813) 413-1455
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PINNACLE CARDIOVASCULAR ASSOCIATES INC is a cardiovascular disease internal medicine in Brandon, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PINNACLE CARDIOVASCULAR ASSOCIATES INC NPI is 1356766513. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carlos Antonio Leche Md.

The provider's business location address is:

1026 E BRANDON BLVD
BRANDON, FL
ZIP 33511-509
Phone: (813) 413-1455

The provider's authorized official is Carlos A Leche .
The authorized official title is Owner and has the following contact phone number (813) 413-1455.

The CLIA number assigned to this NPI record is 10D2109620 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/25/2014 and was last updated on 11/27/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseME93159FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1008652800MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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