Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Hillsborough
    4. ›
  4. 33609
    5. ›
  5. PINNACLE HEALTH GROUP, P.A.

PINNACLE HEALTH GROUP, P.A.

Company Details

Entity Name: PINNACLE HEALTH GROUP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 09 Mar 2000 (25 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 21 Jun 2004 (21 years ago)
Document Number: P00000024809
FEI/EIN Number 593651979
Address: 2605 W. SWANN AVE., SUITE 100, TAMPA, FL, 33609
Mail Address: PO BOX 18344, TAMPA, FL, 33679
ZIP code: 33609
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720738669 2022-03-24 2022-03-31 PO BOX 18344, TAMPA, FL, 336798344, US 2590 HEALING WAY STE 110, WESLEY CHAPEL, FL, 335435496, US

Contacts
Phone +1 813-874-5500
Fax 8138745505

Authorized person
Name SAM DIASTI
Role PRESIDENT/MEDICAL DIRECTOR
Phone 8138745500

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Other Provider Identifiers
Issuer MED LICENSE
Number ME71925
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PINNACLE HEALTH GROUP, P.A. 401(K) PROFIT SHARING PLAN 2018 593651979 2019-05-10 PINNACLE HEALTH GROUP, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8138745500
Plan sponsor’s address 2605 W SWANN AVE STE 100, TAMPA, FL, 336094039

Signature of
Role Plan administrator
Date 2019-05-10
Name of individual signing JANETH LEGARDA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-10
Name of individual signing JANETH LEGARDA
Valid signature Filed with authorized/valid electronic signature
PINNACLE HEALTH GROUP, P.A. 401(K) PROFIT SHARING PLAN 2017 593651979 2018-07-30 PINNACLE HEALTH GROUP, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8138745500
Plan sponsor’s address 2605 W SWANN AVE STE 100, TAMPA, FL, 336094039

Signature of
Role Plan administrator
Date 2018-07-30
Name of individual signing SAM DIASTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-30
Name of individual signing JANETH LEGARDA
Valid signature Filed with authorized/valid electronic signature
PINNACLE HEALTH GROUP, P.A. 401(K) PROFIT SHARING PLAN 2016 593651979 2017-10-13 PINNACLE HEALTH GROUP, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8138745500
Plan sponsor’s address 2605 W SWANN AVE STE 100, TAMPA, FL, 336094039

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing SAM DIASTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-13
Name of individual signing SAM DIASTI
Valid signature Filed with authorized/valid electronic signature
PINNACLE HEALTH GROUP, P.A. 401(K) PROFIT SHARING PLAN 2015 593651979 2016-09-08 PINNACLE HEALTH GROUP, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8138745500
Plan sponsor’s address 2605 W SWANN AVE STE 100, TAMPA, FL, 336094039

Signature of
Role Plan administrator
Date 2016-09-08
Name of individual signing SAM DIASTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-08
Name of individual signing SAM DIASTI
Valid signature Filed with authorized/valid electronic signature
PINNACLE HEALTH GROUP, P.A. 401(K) PROFIT SHARING PLAN 2014 593651979 2016-12-29 PINNACLE HEALTH GROUP, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8138745500
Plan sponsor’s address 2605 W SWANN AVE STE 100, TAMPA, FL, 336094039

Signature of
Role Plan administrator
Date 2016-12-29
Name of individual signing JANETH LEGARDA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-12-29
Name of individual signing JANETH LEGARDA
Valid signature Filed with authorized/valid electronic signature
PINNACLE HEALTH GROUP, P.A. 401(K) PROFIT SHARING PLAN 2013 593651979 2014-07-09 PINNACLE HEALTH GROUP, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8138745500
Plan sponsor’s address 2605 W SWANN AVE STE 100, TAMPA, FL, 336094039

Signature of
Role Plan administrator
Date 2014-07-09
Name of individual signing SAM DIASTI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-09
Name of individual signing SAM DIASTI
Valid signature Filed with authorized/valid electronic signature
PINNACLE HEALTH GROUP, P.A. 401(K) PROFIT SHARING PLAN 2012 593651979 2013-10-14 PINNACLE HEALTH GROUP, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8138745500
Plan sponsor’s address 2605 W. SWANN AVENUE, SUITE 100, TAMPA, FL, 336094039

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing SAM DIASTI
Valid signature Filed with authorized/valid electronic signature
PINNACLE HEALTH GROUP, P.A. 401(K) PROFIT SHARING PLAN 2011 593651979 2012-10-12 PINNACLE HEALTH GROUP, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8138745500
Plan sponsor’s address 2605 W. SWANN AVENUE, SUITE 100, TAMPA, FL, 336094039

Plan administrator’s name and address
Administrator’s EIN 593651979
Plan administrator’s name PINNACLE HEALTH GROUP, P.A.
Plan administrator’s address 2605 W. SWANN AVENUE, SUITE 100, TAMPA, FL, 336094039
Administrator’s telephone number 8138745500

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing SAM DIASTI
Valid signature Filed with authorized/valid electronic signature
PINNACLE HEALTH GROUP, P.A. 401K PROFIT SHARING PLAN 2010 593651979 2011-06-16 PINNACLE HEALTH GROUP, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8138745500
Plan sponsor’s address 2605 W. SWANN AVENUE, SUITE 100, TAMPA, FL, 336094039

Plan administrator’s name and address
Administrator’s EIN 593651979
Plan administrator’s name PINNACLE HEALTH GROUP, P.A.
Plan administrator’s address 2605 W. SWANN AVENUE, SUITE 100, TAMPA, FL, 336094039
Administrator’s telephone number 8138745500

Signature of
Role Plan administrator
Date 2011-06-16
Name of individual signing SAM DIASTI
Valid signature Filed with authorized/valid electronic signature
PINNACLE HEALTH GROUP, P.A. 401(K) PROFIT SHARING PLAN 2009 593651979 2010-10-14 PINNACLE HEALTH GROUP, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8138745500
Plan sponsor’s address 2605 W. SWANN AVENUE, SUITE 100, TAMPA, FL, 336094039

Plan administrator’s name and address
Administrator’s EIN 593651979
Plan administrator’s name PINNACLE HEALTH GROUP, P.A.
Plan administrator’s address 2605 W. SWANN AVENUE, SUITE 100, TAMPA, FL, 336094039
Administrator’s telephone number 8138745500

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing SAM DIASTI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DIASTI SAM Agent 901 S. GOLFVIEW ST, TAMPA, FL, 33629

President

Name Role Address
DIASTI SAM Dr. President 2605 W. SWANN AVE. SUITE 100, TAMPA, FL, 33609

Director

Name Role Address
DIASTI SAM Dr. Director 2605 W. SWANN AVE. SUITE 100, TAMPA, FL, 33609

Secretary

Name Role Address
DIASTI RIHAM Secretary 901 S. GOLFVIEW, TAMPA, FL, 33629

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2011-02-21 2605 W. SWANN AVE., SUITE 100, TAMPA, FL 33609 No data
REGISTERED AGENT NAME CHANGED 2011-02-21 DIASTI, SAM No data
REGISTERED AGENT ADDRESS CHANGED 2011-02-21 901 S. GOLFVIEW ST, TAMPA, FL 33629 No data
CHANGE OF PRINCIPAL ADDRESS 2006-05-02 2605 W. SWANN AVE., SUITE 100, TAMPA, FL 33609 No data
NAME CHANGE AMENDMENT 2004-06-21 PINNACLE HEALTH GROUP, P.A. No data

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-25
ANNUAL REPORT 2022-04-20
AMENDED ANNUAL REPORT 2021-11-30
AMENDED ANNUAL REPORT 2021-11-29
ANNUAL REPORT 2021-03-27
ANNUAL REPORT 2020-05-06
ANNUAL REPORT 2019-03-31
ANNUAL REPORT 2018-04-06
ANNUAL REPORT 2017-04-23

Related by officers

DIASTI RIHAM

PINNACLE SWANN LLC PINNACLE BAYFRONT LLC HLD4 PROPERTIES, LLC

DIASTI SAM

FPAACO, LLC PINNACLE SWANN LLC PINNACLE BAYFRONT LLC PINNACLE PROPERTIES INTERNATIONAL, LLC HLD4 PROPERTIES, LLC

Related by address

No related companies by address

Date of last update: 03 Feb 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated