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DIAGNOSTIC CLINIC MEDICAL GROUP, INC.
NPI 1609222405
Family Medicine in St Petersburg, FL

Active since May 11, 2016
6776 54TH AVE N, SUITE B, ST PETERSBURG, FL 33709(727) 548-8500(727) 317-3758 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 25, 2020, May 11, 2016 (2 updates tracked since 2016).

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 1609222405) is a healthcare organization registered as a family medicine in St Petersburg, Florida and active in the NPI registry since May 2016. The organization lists Gina M Prebeck, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1609222405
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDIAGNOSTIC CLINIC MEDICAL GROUP, INC.
Location Address6776 54TH AVE N, SUITE BSt Petersburg, FL 33709-1405
Mailing Address6776 54th Ave N, Suite BSt Petersburg, FL 33709-1405 · (727) 548-8500 · Fax (727) 317-3758
Phone(727) 548-8500
Fax(727) 317-3758
Organization SubpartNo
Authorized OfficialGina M PrebeckVp Of Operations · (727) 581-8767
Enumeration DateMay 11, 2016
Last NPPES UpdateNovember 25, 20202 updates tracked since enumeration
NPPES CertifiedNovember 25, 2020
✔ NPI 1609222405 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
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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 MULTIPLE 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.

DIAGNOSTIC CLINIC MEDICAL GROUP INC.
Family Medicine
6776 54TH AVE N
ST PETERSBURG, FL 33709
Pinellas County (727) 548-8500
NEW BEGINNINGS MEDICAL CLINIC, INC.
Health Maintenance Organization
6776 54TH AVE N, SUITE B
ST PETERSBURG, FL 33709
Pinellas County (727) 865-4166
THE LIO MISSION INC
Health Maintenance Organization
6776 54TH AVE N, SUITE C
ST PETERSBURG, FL 33709
Pinellas County (727) 547-8676
ADVANCED MEDICAL THERAPY INSTITUTE, INC.
Exclusive Provider Organization
6776 54TH AVE N, SUITE B
ST PETERSBURG, FL 33709
Pinellas County (727) 397-9118
ACADEMIC ALLIANCE IN DERMATOLOGY, INC
Dermatology
6776 54TH AVE N
ST PETERSBURG, FL 33709
Pinellas County (727) 935-0510
APRIL LOUISE SILVERBERG DNP, APRN, AGPCNP-BC
Nurse Practitioner
6776 54TH AVE N
ST PETERSBURG, FL 33709
Pinellas County (727) 935-0510
LISA M DISANTO DO PA
Family Medicine
6776 54TH AVE N, SUITE A
ST PETERSBURG, FL 33709
Pinellas County (727) 548-8500
DR. GEORGE ROGER DUNKELBERGER D.O.
Family Medicine
6776 54TH AVE N, SUITE B
ST PETERSBURG, FL 33709
Pinellas County (727) 548-8500

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 1609222405. It was assigned to this organization in the NPPES registry on May 11, 2016.

Where is Diagnostic Clinic Medical Group, Inc. located?

Diagnostic Clinic Medical Group, Inc. is located at 6776 54th Ave N Suite B, 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.