Diagnostic Clinic Medical Group, Inc.
NPI 1851997985ActiveOrganization· Family Medicine· South Pasadena, FL
Family Medicine in South Pasadena, Florida, registered in NPPES in December 2020, part of Diagnostic Clinic Medical Group, Inc. The authorized official on file is Gina Marie Prebeck, Vp Of Operations.
Overview
| NPI | 1851997985 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Diagnostic Clinic Medical Group, Inc. |
| NPI issued | Dec 4, 2020 |
| Last updated in NPPES | Mar 16, 2021 |
| Certified by provider | Mar 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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