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
3820 TAMPA RD, SUITE 101, PALM HARBOR, FL 34684-3609
(727) 785-6422
(727) 785-9660
Mailing address
1301 2ND AVE SW, LARGO, FL 33770-3120
(727) 581-8767
(727) 581-8507
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
10/22/2008
Last updated
11/25/2020
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