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Organization
DIAGNOSTIC CLINIC MEDICAL GROUP INC.
Active
Organization
DIAGNOSTIC CLINIC MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA M. PREBECK (VP OF OPERATIONS)
(727) 581-8767
Entity
Organization
Contact information
Practice address
6776 54TH AVE N, ST PETERSBURG, FL 33709-1405
(727) 548-8500
(727) 548-9800
Mailing address
6776 54TH AVE N, ST PETERSBURG, FL 33709-1405
(727) 548-8500
(727) 548-9800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
FL
Other
Enumeration date
11/21/2014
Last updated
11/25/2020
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