Organization Name: | CHILDRENS DIAGNOSTIC & TREATMENT CENTER INC |
NPI Number: | 1225254535 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANA M HERNANDEZ-PUGA (MEDICAL DIRECTOR) |
Mailing Address: | 1401 S Federal Hwy Fort Lauderdale |
State: | FL US |
Postal Code: | 333162619 |
Phone Number: | 9547288080 |
Fax Number: | 9547791957 |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 08/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |