PINNACLES PEDS CARE PA NPI 1194033753

NPI Information

  • NPI: 1194033753
  • Provider Name: PINNACLES PEDS CARE, PA
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 10D2019534
  • Address: 180 PINNACLES DR
    SUITE 100
    PALM COAST, FL
    ZIP 32164
  • Phone: (386) 313-1963

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NPI Details

PINNACLES PEDS CARE, PA is a pediatrics in Palm Coast, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PINNACLES PEDS CARE, PA NPI is 1194033753. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

180 PINNACLES DR
SUITE 100
PALM COAST, FL
ZIP 32164-596
Phone: (386) 313-1963

The provider's authorized official is Vincent G Verdeflor .
The authorized official title is Director and has the following contact phone number (386) 597-2298.

The CLIA number assigned to this NPI record is 10D2019534 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/16/2010 and was last updated on 9/16/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsME 97678FLORIDAYes

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: 11/21/2025

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