Organization
MD DIAGNOSTIC SPECIALIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER E. WEINBERG MD (DIRECTOR)
(407) 740-8848
Entity
Organization
Contact information
Practice address
668 N ORLANDO AVE, SUITE 1005, MAITLAND, FL 32751-4473
(407) 740-8848
(407) 740-0324
Mailing address
668 N ORLANDO AVE, SUITE 1005, MAITLAND, FL 32751-4473
(407) 740-8848
(407) 740-0324
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9376098
AETNA
FL
01
—
V3206
BCBS
FL
Enumeration date
08/30/2006
Last updated
06/26/2015
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