# MD DIAGNOSTIC SPECIALIST, INC

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

## Provider details

- **NPI number:** 1922017490
- **Authorized official:** BARBARA TATTON (AR MANAGER)
- **Authorized official phone:** (407) 740-8848

## Contact information

- **Practice address:** 668 N ORLANDO AVE, SUITE 1010, MAITLAND, FL 32751-4473
- **Practice address phone:** (407) 740-8848
- **Mailing address:** 668 N ORLANDO AVE STE 1010, MAITLAND, FL 32751-4460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | ME90201 | FL | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 12/01/2025
