Organization
ANN STORCK CENTER, INC.
Active
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) 321-8863
Mailing address
1790 SW 43RD WAY, FORT LAUDERDALE, FL 33317-5701
(954) 584-8000
(954) 321-8863
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225100000X
Physical Therapist
—
FL
2251P0200X
Pediatric Physical Therapist
—
FL
225X00000X
Occupational Therapist
—
FL
225XP0200X
Pediatric Occupational Therapist
—
FL
235Z00000X
Speech-Language Pathologist
—
FL
251C00000X
Developmentally Disabled Services Day Training Agency
—
FL
261QH0100X
Health Service Clinic/Center
—
FL
261QM1300X
Multi-Specialty Clinic/Center
—
FL
261QP2000X
Physical Therapy Clinic/Center
—
FL
261QR0400X
Rehabilitation Clinic/Center
—
FL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019035000
—
FL
05
—
024991296
—
FL
05
—
028037201
—
FL
05
—
028521800
—
FL
Enumeration date
02/07/2007
Last updated
02/11/2021
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