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

Diagnostic Clinic Medical Group Inc

Organization Endocrinology, Diabetes & Metabolism Physician · NPI 1124440912

Diagnostic Clinic Medical Group Inc is an Endocrinology, Diabetes & Metabolism Physician in Clearwater, Florida. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2
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

3165 N McMullen Booth Rd Bldg B
Clearwater, FL 33761-2032
Phone: (727) 581-8767
Fax: (727) 581-8507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X

Record details

NPI number1124440912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Prebeck — Vp Of Operations · (727) 581-8767
NPI enumeratedJanuary 13, 2014
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020
Mailing address3165 N McMullen Booth Rd, Building B, Clearwater, FL 33761-2032

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