DIAGNOSTIC CLINIC MEDICAL GROUP, INC.
NPI 1851997985
Family Medicine in South Pasadena, FL

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 December 04, 2020

1615 PASADENA AVE S STE 220, SOUTH PASADENA, FL 33707(727) 345-7100(727) 345-7102 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 16, 2021, Jan 15, 2021, Dec 7, 2020 and 1 more (4 updates tracked since 2020).

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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 1851997985) is a healthcare organization registered as a family medicine in South Pasadena, Florida and active in the NPI registry since December 2020. The organization lists Gina Marie Prebeck, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1851997985

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameDIAGNOSTIC CLINIC MEDICAL GROUP, INC.

Location Address1615 PASADENA AVE S STE 220South Pasadena, FL 33707-4517

Mailing Address1615 Pasadena Ave S Ste 220South Pasadena, FL 33707-4517 · (727) 345-7100 · Fax (727) 345-7102

Phone(727) 345-7100

Fax(727) 345-7102

Organization SubpartYes

Authorized OfficialGina Marie PrebeckVp Of Operations · (727) 559-9461

Enumeration DateDecember 4, 2020

Last NPPES UpdateMarch 16, 20214 updates tracked since enumeration

NPPES CertifiedMarch 16, 2021

✔ NPI 1851997985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

1615 PASADENA AVE S STE 220, South Pasadena, FL 33707

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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

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

KEVIN JONATHAN CACERES MD

Otolaryngology (Facial Plastic Surgery)

1615 PASADENA AVE S STE 220
SOUTH PASADENA, FL 33707

Pinellas County (727) 870-3223

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 1851997985. It was assigned to this organization in the NPPES registry on December 4, 2020.

Where is Diagnostic Clinic Medical Group, Inc. located?

Diagnostic Clinic Medical Group, Inc. is located at 1615 Pasadena Ave S Ste 220, South Pasadena, FL 33707. The listed phone number is (727) 345-7100.

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 March 16, 2021. 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.