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

Diagnostic Clinic Medical Group Inc

Organization Family Medicine Physician · NPI 1780080945

Diagnostic Clinic Medical Group Inc is a Family Medicine Physician in St Petersburg, Florida. Registered with an NPI since 2014.

In the registry since
2014
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

630 Pasadena Ave S
St Petersburg, FL 33707-2128
Phone: (727) 345-7100
Fax: (727) 345-7102
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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

Record details

NPI number1780080945
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Prebeck — Vp Of Operations · (727) 581-8767
NPI enumeratedNovember 14, 2014
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020
Mailing address630 Pasadena Ave S, St Petersburg, FL 33707-2128

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