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
630 PASADENA AVE S, ST PETERSBURG, FL 33707-2128
(727) 345-7100
(727) 345-7102
Mailing address
630 PASADENA AVE S, ST PETERSBURG, FL 33707-2128
(727) 345-7100
(727) 345-7102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/14/2014
Last updated
11/25/2020
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