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 Allergy & Immunology Physician · NPI 1457686784

Diagnostic Clinic Medical Group, Inc is an Allergy & Immunology Physician in Largo, Florida. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
9
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

1301 2nd Ave SW
Largo, FL 33770-3120
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

Internal Medicine Physician (primary) Taxonomy 207R00000X
Allergy & Immunology Physician Taxonomy 207K00000X
Anesthesiology Physician Taxonomy 207L00000X
Family Medicine Physician Taxonomy 207Q00000X
Nuclear Medicine Physician Taxonomy 207U00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Ophthalmology Physician Taxonomy 207W00000X
Diagnostic Ultrasound Physician Taxonomy 2085U0001X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1457686784
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Prebeck — Vp Of Operationa · (727) 581-8767
NPI enumeratedOctober 5, 2009
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020
Mailing address1301 2nd Ave Sw, Largo, FL 33770-3120

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