Diagnostic Clinic Medical Group INC
NPI #1124690433 in Saint Petersburg, Florida
Provider Information
- NPI Number
- 1124690433
- Entity Type
- Organization
- Organization Name
- Diagnostic Clinic Medical Group INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DIAGNOSTIC CLINIC MEDICAL GROUP INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 15, 2021
- Last Updated
- Jul 15, 2021
Practice Location
- Address
- 6735 CROSSWINDS DR N
- City
- Saint Petersburg
- State
- Florida
- ZIP Code
- 33710-5471
- Phone
- (727) 548-8500
Authorized Official
- Name
- GINA MARIE PREBECK
- Title
- VP OF OPERATIONS
- Phone
- (727) 559-9461
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Nurse Practitioner - Family — Family |
| Family Medicine |
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