CHILDRENS DIAGNOSTIC & TREATMENT CENTER INC (NPI# 1437245529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437245529 |
| Entity Type | Organization |
| Organization Name | CHILDRENS DIAGNOSTIC & TREATMENT CENTER INC |
| Practice Address |
1401 S Federal Hwy Fort Lauderdale FL 33316 |
| Mailing Address |
1700 Nw 49th St Ste 125 Fort Lauderdale FL 33309-3750 |
| Practice Telephone | 9547288080 |
| Mailing Telephone | 9547288080 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2018-11-26 |
| Authorized Official Name | GINO SANTORIO (ACTING CEO/PRESIDENT) |
| Authorized Official Telephone | 9544737054 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 061258800 | 05 | |
| FL | BCBS | 34478 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679790786 | Childrens Diagnostic & Treatment Center Inc | Occupational Therapist | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2007-04-19 |
| 1962628289 | Childrens Diagnostic & Treatment Center Inc | Case Management | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2007-04-17 |
| 1225254535 | Childrens Diagnostic & Treatment Center Inc | Psychologist | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2007-04-17 |
| Street Address |
1401 S FEDERAL HWY |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497740914 | Patricia A Garvie | Psychologist | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2005-09-12 |
| 1316550817 | Keron Shand | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2020-08-25 |
| 1851924906 | Rose Rachelle L Nicolas | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2020-02-18 |
| 1437792108 | Elizabeth Hernandez | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2019-10-24 |
| 1649823717 | Flor Guzman | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2019-07-18 |
| 1851858385 | Maria Monroe | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2019-02-20 |
| 1689139164 | Rachelle Pigeot | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2019-02-08 |
| 1750846770 | Maria L Berrios | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2019-02-04 |
| 1831660745 | Bethie Alfred | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2018-12-17 |
| 1518437813 | Katrina Anderson | Social Worker | 1401 S Federal Hwy, Fort Lauderdale, FL 33316-2619 | 2018-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| City | FORT LAUDERDALE |
| Zip Code | 33316 |
Please comment or provide details below to improve the information on CHILDRENS DIAGNOSTIC & TREATMENT CENTER INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.