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 1851997985

Diagnostic Clinic Medical Group, Inc is a Family Medicine Physician in South Pasadena, Florida. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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

1615 Pasadena Ave S Ste 220
South Pasadena, FL 33707-4517
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
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1851997985
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDiagnostic Clinic Medical Group, Inc
Authorized official Gina Prebeck — Vp Of Operations · (727) 559-9461
NPI enumeratedDecember 4, 2020
Last updated in NPPESMarch 16, 2021
Certification dateMarch 16, 2021
Mailing address1615 Pasadena Ave S Ste 220, South Pasadena, FL 33707-4517

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