DIAGNOSTIC CLINIC MEDICAL GROUP INC
NPI 1356939284
Nurse Practitioner - Family in Saint Petersburg, FL

Active since January 06, 2021
7005 4TH ST N, SAINT PETERSBURG, FL 33702(727) 501-7300(727) 501-7360 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 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 1356939284) is a healthcare organization registered as a family in Saint Petersburg, Florida and active in the NPI registry since January 2021. The organization lists Gina Marie Prebeck, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1356939284
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDIAGNOSTIC CLINIC MEDICAL GROUP INC
Location Address7005 4TH ST NSaint Petersburg, FL 33702-5909
Mailing Address7005 4th St NSaint Petersburg, FL 33702-5909 · (727) 501-7300 · Fax (727) 501-7360
Fax(727) 501-7360
Organization SubpartNo
Authorized OfficialGina Marie PrebeckVp Of Operations · (727) 559-9461
Enumeration DateJanuary 6, 2021
NPPES CertifiedJanuary 6, 2021
NPI 1356939284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
7005 4TH ST N, Saint Petersburg, FL 33702

Other Identifiers 1

Other00036FL · Florida Blue

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

Physical Therapist
7005 4TH ST N
ST PETERSBURG, FL 33702
Acupuncturist
7005 4TH ST N, SUITE 3
ST PETERSBURG, FL 33702
Internal Medicine
7005 4TH ST N, SUITE 1
ST PETERSBURG, FL 33702
Nutritionist (Nutrition, Education)
7005 4TH ST N, SUITE 3
ST. PETERSBURG, FL 33702
Family Medicine
7005 4TH ST N, SUITE 1
ST PETERSBURG, FL 33702
Massage Therapist
7005 4TH ST N, SUITE 3
ST PETERSBURG, FL 33702

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 1356939284. It was assigned to this organization in the NPPES registry on January 6, 2021.

Where is Diagnostic Clinic Medical Group Inc located?

Diagnostic Clinic Medical Group Inc is located at 7005 4th St N, Saint Petersburg, FL 33702. The listed phone number is (727) 501-7300.

What is Diagnostic Clinic Medical Group Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Diagnostic Clinic Medical Group Inc was last updated on January 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.