| Diagnostic Clinic Medical Group Inc | |
|
7005 4th St N Saint Petersburg FL 33702-5909 | |
| (727) 501-7300 | |
| (727) 501-7360 |
| Full Name | Diagnostic Clinic Medical Group Inc |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 7005 4th St N, Saint Petersburg, Florida |
| Authorized Official Name and Position | Gina Marie Prebeck (VP OF OPERATIONS) |
| Authorized Official Contact | 7275599461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diagnostic Clinic Medical Group Inc 7005 4th St N Saint Petersburg FL 33702-5909 Ph: (727) 501-7300 | Diagnostic Clinic Medical Group Inc 7005 4th St N Saint Petersburg FL 33702-5909 Ph: (727) 501-7300 |
| NPI Number | 1356939284 |
|---|---|
| Provider Enumeration Date | 01/06/2021 |
| Last Update Date | 01/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356939284 | NPI | - | NPPES |
| 00036 | Other | FL | FLORIDA BLUE |
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