Organization
DIAGNOSTIC CLINIC MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA M PREBECK MD (VP OF OPERATIONS)
(727) 581-8767
Entity
Organization
Contact information
Practice address
3131 N MCMULLEN BOOTH RD, CLEARWATER, FL 33761-2008
(727) 726-8871
(727) 581-8507
Mailing address
1301 2ND AVE SW, LARGO, FL 33770-3120
(727) 581-8767
(727) 581-8507
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
208600000X
Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260094304
—
FL
Enumeration date
10/22/2008
Last updated
11/25/2020
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