Organization
CHILDRENS DIAGNOSTIC & TREATMENT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA CALDERON RANDAZZO PHD (ADMINISTRATOR)
(954) 728-1060
Entity
Organization
Contact information
Practice address
5201 NW 33RD AVE, FORT LAUDERDALE, FL 33309-6302
(954) 728-8080
(954) 779-1957
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
(954) 728-8080
(954) 779-1957
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
05/06/2021
Last updated
09/18/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up