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

Diagnostic Clinic Medical Group Inc

Organization Family Medicine Physician · NPI 1780080945

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

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

630 Pasadena Ave S
St Petersburg, FL 33707-2128
Phone: (727) 345-7100
Fax: (727) 345-7102
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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

Record details

NPI number1780080945
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Prebeck — Vp Of Operations · (727) 581-8767
NPI enumeratedNovember 14, 2014
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020
Mailing address630 Pasadena Ave S, St Petersburg, FL 33707-2128

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