# MEDICAL DIAGNOSTIC CLINICS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245354885
- **Authorized official:** MS. ROBERTA K. ADDAMS (PRESIDENT)
- **Authorized official phone:** (321) 327-7970

## Contact information

- **Practice address:** 2323 S BABCOCK ST, SUITE B, MELBOURNE, FL 32901-5300
- **Practice address phone:** (321) 327-7970
- **Practice address fax:** (321) 327-7969
- **Mailing address:** 2323 S BABCOCK ST, SUITE B, MELBOURNE, FL 32901-5300
- **Mailing address phone:** (321) 327-7970
- **Mailing address fax:** (321) 327-7969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | ME14925 | FL | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 09/14/2009
