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DIAGNOSTIC CLINIC MEDICAL GROUP INC. NPI 1942452966


NPI Information

NPI: 1942452966
Provider Name: DIAGNOSTIC CLINIC MEDICAL GROUP INC.
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 10D2079095

Address:
3820 TAMPA RD
SUITE 101
PALM HARBOR, FL
ZIP 34684
Phone: (727) 785-6422
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DIAGNOSTIC CLINIC MEDICAL GROUP INC. is an ophthalmology in Palm Harbor, FL. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DIAGNOSTIC CLINIC MEDICAL GROUP INC. NPI is 1942452966. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3820 TAMPA RD
SUITE 101
PALM HARBOR, FL
ZIP 34684-609
Phone: (727) 785-6422
Fax: (727) 785-9660

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 CLIA number assigned to this NPI record is 10D2079095 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/22/2008 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
1207W00000XOphthalmologyYes

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

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