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

Diagnostic Clinic Medical Group Inc

Organization Allergy & Immunology Physician · NPI 1699927616

Diagnostic Clinic Medical Group Inc is an Allergy & Immunology Physician in Clearwater, Florida. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
11
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

3131 N McMullen Booth Rd
Clearwater, FL 33761-2008
Phone: (727) 726-8871
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
Dermatology Physician Taxonomy 207N00000X
Family Medicine Physician Taxonomy 207Q00000X
Gastroenterology Physician Taxonomy 207RG0100X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Otolaryngology Physician Taxonomy 207Y00000X
Diagnostic Ultrasound Physician Taxonomy 2085U0001X
Surgery Physician Taxonomy 208600000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1699927616
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Prebeck — Vp Of Operations · (727) 581-8767
NPI enumeratedOctober 22, 2008
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020
Mailing address1301 2nd Ave Sw, Largo, FL 33770-3120

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