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CHILDRENS DIAGNOSTIC & TREATMENT CENTER INC NPI 1225254535


NPI Information

NPI: 1225254535
Provider Name: CHILDRENS DIAGNOSTIC & TREATMENT CENTER INC

Doing Business As: EIP PROFESSIONAL

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1401 S FEDERAL HWY
FORT LAUDERDALE, FL
ZIP 33316
Phone: (954) 728-8080
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CHILDRENS DIAGNOSTIC & TREATMENT CENTER INC is a pediatrics in Fort Lauderdale, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CHILDRENS DIAGNOSTIC & TREATMENT CENTER INC NPI is 1225254535. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Eip Professional.

The provider's business location address is:

1401 S FEDERAL HWY
FORT LAUDERDALE, FL
ZIP 33316-619
Phone: (954) 728-8080
Fax: (954) 779-1957

The provider's authorized official is Ana Calderon Randazzo .
The authorized official title is Administrator and has the following contact phone number (954) 728-1060.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 5/5/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNo
2208000000XPediatricsYes
3224Z00000XOccupational Therapy AssistantNo
4225100000XPhysical TherapistNo
5225X00000XOccupational TherapistNo
62355A2700XSpecialist/TechnologistAudiology AssistantNo
7235Z00000XSpeech-Language PathologistNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
134478OTHERFLORIDABCBS
2055049302MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.