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PINNACLE HEALTH GROUP, P.A. - Florida Company Profile

Company Details

Entity Name: PINNACLE HEALTH GROUP, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PINNACLE HEALTH GROUP, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

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

Federal Employer Identification (FEI) Number assigned by the IRS.

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 2010-10-12 PINNACLE HEALTH GROUP, P.A. 4
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 8138745500
Plan sponsor’s mailing address 2605 W. SWANN AVENUE, SUITE 100, TAMPA, FL, 336094039
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

Number of participants as of the end of the plan year

Active participants 1
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 6
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 7
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2010-10-12
Name of individual signing SAM DIASTI
Valid signature Filed with incorrect/unrecognized electronic signature

Key Officers & Management

Name Role Address
DIASTI SAM Dr. President 2605 W. SWANN AVE. SUITE 100, TAMPA, FL, 33609
DIASTI SAM Dr. Director 2605 W. SWANN AVE. SUITE 100, TAMPA, FL, 33609
DIASTI RIHAM Secretary 901 S. GOLFVIEW, TAMPA, FL, 33629
DIASTI SAM Agent 901 S. GOLFVIEW ST, 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 -
REGISTERED AGENT NAME CHANGED 2011-02-21 DIASTI, SAM -
REGISTERED AGENT ADDRESS CHANGED 2011-02-21 901 S. GOLFVIEW ST, TAMPA, FL 33629 -
CHANGE OF PRINCIPAL ADDRESS 2006-05-02 2605 W. SWANN AVE., SUITE 100, TAMPA, FL 33609 -
NAME CHANGE AMENDMENT 2004-06-21 PINNACLE HEALTH GROUP, P.A. -

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

Date of last update: 03 Apr 2025

Sources: Florida Department of State