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DIAGNOSTIC CLINIC MEDICAL GROUP INC. NPI 1124425947


NPI Information

NPI: 1124425947
Provider Name: DIAGNOSTIC CLINIC MEDICAL GROUP INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
6776 54TH AVE N
ST PETERSBURG, FL
ZIP 33709
Phone: (727) 548-8500
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DIAGNOSTIC CLINIC MEDICAL GROUP INC. is a family medicine in St Petersburg, FL. The provider is 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. DIAGNOSTIC CLINIC MEDICAL GROUP INC. NPI is 1124425947. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6776 54TH AVE N
ST PETERSBURG, FL
ZIP 33709-405
Phone: (727) 548-8500
Fax: (727) 548-9800

The provider's authorized official is Gina M. Prebeck .
The authorized official title is Vp Of Operations and has the following contact phone number (727) 581-8767.

The enumeration date for this NPI number is 11/21/2014 and was last updated on 11/25/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineFLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.