Medical Diagnostic Clinics Inc

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

ME14925 Issued in FL

Legal business name

MEDICAL DIAGNOSTIC CLINICS INC

Practice address

2323 S Babcock St
Suite B
Melbourne, FL 32901-5300

Phone

(321) 327-7970

Fax

(321) 327-7969

NPI assigned

Mar 19, 2007

Last updated

Sep 14, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Roberta K. Addams

Title

President

Phone

(321) 327-7970

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alyn L Benezette, D.O.

  • Neurology Physician
  • Ormond Beach, FL
  • NPI 1508863572
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1245354885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 S BABCOCK ST",
            "address_2": "SUITE B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015300",
            "telephone_number": "321-327-7970",
            "fax_number": "321-327-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 S BABCOCK ST",
            "address_2": "SUITE B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015300",
            "telephone_number": "321-327-7970",
            "fax_number": "321-327-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DIAGNOSTIC CLINICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "ADDAMS",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-327-7970",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "FL",
            "license": "ME14925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medfast Urgent Care Centers,LLC
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• Medical Applications and Services
• Medical Associates of Brevard LLC
• Medical Technology Transfer Corporation (Harris Family Medical Center)
• Medical Technology Transfer Corporation (University Center Imaging)
• Medical Technology Transfer Corporation (Harris Family Medical Center Pharmacy)
• Medicomp Inc (Pivotal Health)
• Roberto Santos Medina, PT

• Rehabilitation Practitioner in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Rehabilitation Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.