Diagnostic Clinic Medical Group, Inc.
LBN: Diagnostic Clinic Medical Group, Inc.
Diagnostic Clinic Medical Group, Inc. is an health care organization with primary practice located at 385 Cypress Gardens Blvd , Winter Haven FL 33880-4452. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Diagnostic Clinic Medical Group, Inc. can be contacted via phone (863) 356-3754, or through Prebeck, Gina Marie via phone (727) 559-9461.
Contact Information
Primary practice address
385 Cypress Gardens Blvd
Winter Haven FL 33880-4452
Phone: (863) 356-3754
Fax: (863) 356-5200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1538833454 |
|---|---|
| LBN Legal business name | Diagnostic Clinic Medical Group, Inc. |
| DBA Doing business as | Diagnostic Clinic Medical Group, Inc. |
| Authorized official | Prebeck, Gina Marie |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 4th, 2021 |
| Last updated | Aug 4th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538833454 | NPPES |
| Florida | Other | 00036 | FLORIDA BLUE |
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