DIAGNOSTIC CLINIC MEDICAL GROUP INC.
NPI 1124425947
Family Medicine in St Petersburg, FL

Active since November 21, 2014
6776 54TH AVE N, ST PETERSBURG, FL 33709(727) 548-8500(727) 548-9800 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diagnostic Clinic Medical Group Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIAGNOSTIC CLINIC MEDICAL GROUP INC. (NPI 1124425947) is a healthcare organization registered as a family medicine in St Petersburg, Florida and active in the NPI registry since November 2014. The organization lists Gina M. Prebeck, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1124425947
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDIAGNOSTIC CLINIC MEDICAL GROUP INC.
Location Address6776 54TH AVE NSt Petersburg, FL 33709-1405
Mailing Address6776 54th Ave NSt Petersburg, FL 33709-1405 · (727) 548-8500 · Fax (727) 548-9800
Fax(727) 548-9800
Organization SubpartNo
Authorized OfficialGina M. PrebeckVp Of Operations · (727) 581-8767
Enumeration DateNovember 21, 2014
Last NPPES UpdateNovember 25, 2020
NPPES CertifiedNovember 25, 2020
NPI 1124425947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6776 54TH AVE N, St Petersburg, FL 33709

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Health Maintenance Organization
6776 54TH AVE N, SUITE B
ST PETERSBURG, FL 33709
Health Maintenance Organization
6776 54TH AVE N, SUITE C
ST PETERSBURG, FL 33709
Exclusive Provider Organization
6776 54TH AVE N, SUITE B
ST PETERSBURG, FL 33709
Dermatology
6776 54TH AVE N
ST PETERSBURG, FL 33709
Family Medicine
6776 54TH AVE N, SUITE B
ST PETERSBURG, FL 33709
Nurse Practitioner
6776 54TH AVE N
ST PETERSBURG, FL 33709
Family Medicine
6776 54TH AVE N, SUITE A
ST PETERSBURG, FL 33709
Family Medicine
6776 54TH AVE N, SUITE B
ST PETERSBURG, FL 33709

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diagnostic Clinic Medical Group Inc.'s NPI number?

The NPI number for Diagnostic Clinic Medical Group Inc. is 1124425947. It was assigned to this organization in the NPPES registry on November 21, 2014.

Where is Diagnostic Clinic Medical Group Inc. located?

Diagnostic Clinic Medical Group Inc. is located at 6776 54th Ave N, St Petersburg, FL 33709. The listed phone number is (727) 548-8500.

What is Diagnostic Clinic Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Diagnostic Clinic Medical Group Inc. was last updated on November 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.