Organization
CHILDRENS DIAGNOSTIC & TREATMENT CENTER INC
Active
Other names
Broward Health CDTC Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALISA BERT (INTERIM CFO)
(954) 847-4117
Entity
Organization
Contact information
Practice address
1401 S FEDERAL HWY, FORT LAUDERDALE, FL 33316-2619
(954) 728-1080
(954) 728-1013
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
(954) 728-1080
(954) 728-1013
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
10/26/2021
Last updated
04/01/2024
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