| Childrens Diagnostic & Treatment Center Inc | |
|
1401 S Federal Hwy Fort Lauderdale FL 33316 | |
| (954) 728-8080 | |
| Not Available |
| Full Name | Childrens Diagnostic & Treatment Center Inc |
|---|---|
| Speciality | Pediatrics |
| Location | 1401 S Federal Hwy, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Ana Calderon Randazzo (ADMINISTRATOR) |
| Authorized Official Contact | 9547281060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Diagnostic & Treatment Center Inc 1700 Nw 49th St Ste 125 Fort Lauderdale FL 33309-3750 Ph: (954) 728-8080 | Childrens Diagnostic & Treatment Center Inc 1401 S Federal Hwy Fort Lauderdale FL 33316 Ph: (954) 728-8080 |
| NPI Number | 1437245529 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 09/18/2024 |
| Medicare PECOS PAC ID | 4880588896 |
|---|---|
| Medicare Enrollment ID | O20040211000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437245529 | NPI | - | NPPES |
| 061258800 | Medicaid | FL | |
| 34478 | Other | FL | BCBS |
| Provider Name | Berenise Lafrance |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629032529 PECOS PAC ID: 8527952548 Enrollment ID: I20040211000353 |
| Provider Name | Maria C Barrueco-casariego |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679538854 PECOS PAC ID: 3173417037 Enrollment ID: I20040211000593 |
| Provider Name | Barbara J Kalish |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124242045 PECOS PAC ID: 0244309110 Enrollment ID: I20080519000172 |
| Provider Name | Katherine London |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013161942 PECOS PAC ID: 8224191648 Enrollment ID: I20090112000517 |
| Provider Name | Elizabeth A Donahue |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235480278 PECOS PAC ID: 3072767870 Enrollment ID: I20130201000386 |
| Provider Name | Patricia A Garvie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497740914 PECOS PAC ID: 0244270965 Enrollment ID: I20130304000089 |
| Provider Name | Marivil Castro Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700292042 PECOS PAC ID: 0648558809 Enrollment ID: I20161024001536 |
| Provider Name | Lisa-gaye E Robinson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861591018 PECOS PAC ID: 8729007323 Enrollment ID: I20161101001425 |
| Provider Name | Vanessa Rojas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922498716 PECOS PAC ID: 5890060461 Enrollment ID: I20190131001659 |
| Provider Name | Helena Gaviria |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912302324 PECOS PAC ID: 3274868815 Enrollment ID: I20190718001033 |
| Provider Name | Benjamin William Klein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003331919 PECOS PAC ID: 6406185305 Enrollment ID: I20190830002468 |
| Provider Name | Franca P Sordo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1871164665 PECOS PAC ID: 0547663809 Enrollment ID: I20210723000972 |
| Provider Name | Paulo Oliveira |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1285157826 PECOS PAC ID: 6103203500 Enrollment ID: I20220524000680 |
| Provider Name | Victoria F Schreiber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588088140 PECOS PAC ID: 9931584984 Enrollment ID: I20220912003845 |
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