Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diagnostic Clinic Medical Group Inc

Organization Family Medicine Physician · NPI 1124425947

Diagnostic Clinic Medical Group Inc is a Family Medicine Physician 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
Show map & directions

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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