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 Family Medicine Physician · NPI 1124690433

Diagnostic Clinic Medical Group Inc is a Family Medicine Physician in Saint Petersburg, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
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

6735 Crosswinds Dr N
Saint Petersburg, FL 33710-5471
Phone: (727) 548-8500
Fax: (727) 501-7328
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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
Physician Assistant Taxonomy 363A00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1124690433
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDiagnostic Clinic Medical Group Inc
Authorized official Gina Prebeck — Vp Of Operations · (727) 559-9461
Other names Diagnostic Clinic Medical Group, Inc.
NPI enumeratedJuly 15, 2021
Last updated in NPPESJuly 15, 2021
Certification dateJuly 15, 2021
Mailing address6735 Crosswinds Dr N, Saint Petersburg, FL 33710-5471

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