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Organization
ANN STORCK CENTER, INC.
Active
Organization
ANN STORCK CENTER, INC.
Active
Other names
Ann Storck Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
TONITA GREGORY (DIRECTOR OF ACCOUNTING)
(954) 584-8000
Entity
Organization
Contact information
Practice address
1790 SW 43RD WAY, FORT LAUDERDALE, FL 33317-5701
(954) 584-8000
(954) 206-7699
Mailing address
1790 SW 43RD WAY, FORT LAUDERDALE, FL 33317-5701
(954) 584-8000
(954) 206-7699
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-6883
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019879600
—
FL
Enumeration date
01/02/2018
Last updated
02/11/2021
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