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 1356939284

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

7005 4th St N
Saint Petersburg, FL 33702-5909
Phone: (727) 501-7300
Fax: (727) 501-7360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1356939284
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Prebeck — Vp Of Operations · (727) 559-9461
NPI enumeratedJanuary 6, 2021
Last updated in NPPESJanuary 6, 2021
Certification dateJanuary 6, 2021
Mailing address7005 4th St N, Saint Petersburg, FL 33702-5909

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