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DIAGNOSTIC CLINIC MEDICAL GROUP INC NPI 1124440912


NPI Information

NPI: 1124440912
Provider Name: DIAGNOSTIC CLINIC MEDICAL GROUP INC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
3165 N MCMULLEN BOOTH RD
BUILDING B
CLEARWATER, FL
ZIP 33761
Phone: (727) 581-8767
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DIAGNOSTIC CLINIC MEDICAL GROUP INC is a gastroenterology internal medicine in Clearwater, FL. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DIAGNOSTIC CLINIC MEDICAL GROUP INC NPI is 1124440912. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3165 N MCMULLEN BOOTH RD
BUILDING B
CLEARWATER, FL
ZIP 33761-032
Phone: (727) 581-8767
Fax: (727) 581-8507

The provider's authorized official is Gina M Prebeck .
The authorized official title is Vp Of Operations and has the following contact phone number (727) 581-8767.

The enumeration date for this NPI number is 1/13/2014 and was last updated on 11/25/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
2207RG0100XInternal MedicineGastroenterologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.