Organization · Type 2 NPI

Diagnostic Clinic Medical Group Inc

Family Medicine Physician · St. Petersburg, FL

NPI number 1124690433 Active

Practice location

6735 Crosswinds Dr N
St. Petersburg, FL 33710-5471

Fax (727) 501-7328

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Physician Assistant	363A00000X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Family Medicine Physician: 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.

5 other providers at this address

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NPI record

NPI: 1124690433
Entity type: Organization (Type 2)
Issued: Jul 15, 2021
Last updated: Jul 15, 2021
Status: Active
Subpart: Yes of Diagnostic Clinic Medical Group Inc

Other names

Diagnostic Clinic Medical Group, Inc. · doing business as

Authorized official

Gina Marie Prebeck
VP of Operations
(727) 559-9461

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124690433

Diagnostic Clinic Medical Group Inc's National Provider Identifier is 1124690433, issued on Jul 15, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jul 15, 2021.