Individual
DEREK STORTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1297 US HIGHWAY 27 N, LAKE PLACID, FL 33852-7907
(866) 888-2002
Mailing address
3037 EDWARDS PEACE DR, WAUCHULA, FL 33873-8419
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28259
FL
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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