| Diagnostic Clinic Medical Group Inc. | |
|
3131 N Mcmullen Booth Rd Clearwater FL 33761-2008 | |
| (727) 726-8871 | |
| (727) 581-8507 |
| Full Name | Diagnostic Clinic Medical Group Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3131 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. 1301 2nd Ave Sw Largo FL 33770-3120 Ph: (727) 581-8767 | Diagnostic Clinic Medical Group Inc. 3131 N Mcmullen Booth Rd Clearwater FL 33761-2008 Ph: (727) 726-8871 |
| NPI Number | 1699927616 |
|---|---|
| Provider Enumeration Date | 10/22/2008 |
| Last Update Date | 11/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699927616 | NPI | - | NPPES |
| 260094304 | Medicaid | FL |
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