| Diagnostic Clinic Medical Group, Inc. | |
|
1615 Pasadena Ave S Ste 220 South Pasadena FL 33707-4517 | |
| (727) 345-7100 | |
| (727) 345-7102 |
| Full Name | Diagnostic Clinic Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1615 Pasadena Ave S Ste 220, South Pasadena, 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. 1615 Pasadena Ave S Ste 220 South Pasadena FL 33707-4517 Ph: (727) 345-7100 | Diagnostic Clinic Medical Group, Inc. 1615 Pasadena Ave S Ste 220 South Pasadena FL 33707-4517 Ph: (727) 345-7100 |
| NPI Number | 1851997985 |
|---|---|
| Provider Enumeration Date | 12/04/2020 |
| Last Update Date | 03/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851997985 | NPI | - | NPPES |
| 00036 | Other | FL | FLORIDA BLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Musculoskeletal Institute Chartered Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1615 Pasadena Ave S Ste 150, South Pasadena, FL 33707 Phone: 813-978-9700 | |
Gts Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6800 Gulfport Blvd S Ste 101, South Pasadena, FL 33707 Phone: 727-275-2005 Fax: 727-498-8951 | |
Maturity Medical Of Pinellas Professional Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1615 Pasadena Ave S Ste 250, South Pasadena, FL 33707 Phone: 727-527-6200 Fax: 727-347-0893 | |
Robert P. Fedor, D.o.p.a Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1811 Shore Dr S, South Pasadena, FL 33707 Phone: 727-391-4100 Fax: 727-398-2067 | |
Southern Physicians Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1609 Pasadena Ave S Ste 1e, South Pasadena, FL 33707 Phone: 919-349-1232 Fax: 727-677-9333 | |
David A Long Md, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1615 Pasadena Ave S, 250, South Pasadena, FL 33707 Phone: 727-381-7727 Fax: 727-381-8229 | |
Kfm Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1609 Pasadena Ave S Ste 4g, South Pasadena, FL 33707 Phone: 727-323-1090 Fax: 727-323-1010 |