Organization
CHILDRENS DIAGNOSTIC & TREATMENT CENTER INC
Active
Organization
CHILDRENS DIAGNOSTIC & TREATMENT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA CALDERON-RANDAZZO PHD (ADMINSTRATOR)
(954) 728-1060
Entity
Organization
Contact information
Practice address
1401 S FEDERAL HWY, FORT LAUDERDALE, FL 33316-2619
(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
101YM0800X
Mental Health Counselor
—
FL
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006458400
—
FL
01
—
34478
BCBS
FL
Enumeration date
08/21/2009
Last updated
02/02/2026
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