Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Diagnostic Clinic Medical Group Inc

Organization Family Medicine Physician · NPI 1124425947

Diagnostic Clinic Medical Group Inc provides Family Medicine Physician services in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6776 54th Ave N
St Petersburg, FL 33709-1405
Phone: (727) 548-8500
Fax: (727) 548-9800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (FL)

Record details

NPI number1124425947
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Prebeck — Vp Of Operations · (727) 581-8767
NPI enumeratedNovember 21, 2014
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020
Mailing address6776 54th Ave N, St Petersburg, FL 33709-1405

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