Ann Storck Center, Inc. | |
1790 Sw 43rd Way Fort Lauderdale FL 33317-5701 | |
(954) 584-8000 | |
(954) 206-7699 |
Full Name | Ann Storck Center, Inc. |
---|---|
Speciality | Behavior Analyst |
Location | 1790 Sw 43rd Way, Fort Lauderdale, Florida |
Authorized Official Name and Position | Tonita Gregory (DIRECTOR OF ACCOUNTING) |
Authorized Official Contact | 9545848000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ann Storck Center, Inc. 1790 Sw 43rd Way Fort Lauderdale FL 33317-5701 Ph: (954) 584-8000 | Ann Storck Center, Inc. 1790 Sw 43rd Way Fort Lauderdale FL 33317-5701 Ph: (954) 584-8000 |
NPI Number | 1750898631 |
---|---|
Provider Enumeration Date | 01/02/2018 |
Last Update Date | 02/11/2021 |
Certification Date | 02/11/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750898631 | NPI | - | NPPES |
019879600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-10-6883 (* (Not Available)) | Primary |
News Archive
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