DIAGNOSTIC CLINIC MEDICAL GROUP INC.
NPI 1780080945
Family Medicine in St Petersburg, FL

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

The NPI number for Diagnostic Clinic Medical Group Inc. is 1780080945. It was assigned to this organization in the NPPES registry on November 14, 2014.

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

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

Active since November 14, 2014

630 PASADENA AVE S, ST PETERSBURG, FL 33707(727) 345-7100(727) 345-7102 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 25, 2020, Aug 25, 2017 (2 updates tracked since 2017).

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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 1780080945) 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

NPI1780080945

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameDIAGNOSTIC CLINIC MEDICAL GROUP INC.

Location Address630 PASADENA AVE SSt Petersburg, FL 33707-2128

Mailing Address630 Pasadena Ave SSt Petersburg, FL 33707-2128 · (727) 345-7100 · Fax (727) 345-7102

Phone(727) 345-7100

Fax(727) 345-7102

Organization SubpartNo

Authorized OfficialGina M PrebeckVp Of Operations · (727) 581-8767

Enumeration DateNovember 14, 2014

Last NPPES UpdateNovember 25, 20202 updates tracked since enumeration

NPPES CertifiedNovember 25, 2020

✔ NPI 1780080945 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.

630 PASADENA AVE S, St Petersburg, FL 33707

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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

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

MS. HELEN FEATHERSTON ARNP

Nurse Practitioner (Family)