| NPI | 1538833454 |
|---|---|
| Doing Business As | DIAGNOSTIC CLINIC MEDICAL GROUP, INC. |
| Entity Type | Organization |
| Authorized Contact | GINA MARIE PREBECK VP Of Operations 727-559-9461 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2021-08-04 |