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
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