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
3165 N MCMULLEN BOOTH RD, BUILDING B, CLEARWATER, FL 33761-2032
(727) 581-8767
(727) 581-8507
Mailing address
3165 N MCMULLEN BOOTH RD, BUILDING B, CLEARWATER, FL 33761-2032
(727) 581-8767
(727) 581-8507
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
01/13/2014
Last updated
11/25/2020
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