| Diagnostic Clinic Medical Group Inc | |
|
3165 N Mcmullen Booth Rd Building B Clearwater FL 33761-2032 | |
| (727) 581-8767 | |
| (727) 581-8507 |
| Full Name | Diagnostic Clinic Medical Group Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 3165 N Mcmullen Booth Rd, Clearwater, Florida |
| Authorized Official Name and Position | Gina M Prebeck (VP OF OPERATIONS) |
| Authorized Official Contact | 7275818767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diagnostic Clinic Medical Group Inc 3165 N Mcmullen Booth Rd Building B Clearwater FL 33761-2032 Ph: (727) 581-8767 | Diagnostic Clinic Medical Group Inc 3165 N Mcmullen Booth Rd Building B Clearwater FL 33761-2032 Ph: (727) 581-8767 |
| NPI Number | 1124440912 |
|---|---|
| Provider Enumeration Date | 01/13/2014 |
| Last Update Date | 11/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124440912 | NPI | - | NPPES |
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