Ort, Stacie

Ort, Stacie is an sole proprietor health care provider with primary practice located at 19482 Black Olive Ln , Boca Raton FL 33498-4824. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Ort, Stacie can be contacted via phone (561) 558-9087.

Contact Information

Primary practice address
19482 Black Olive Ln Boca Raton FL 33498-4824
Phone: (561) 558-9087
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA5710 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X SA 5710 Florida

Profile Details

NPI number 1457452641
LBN Legal business name Ort, Stacie
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Apr 30th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457452641 NPPES
Florida MEDICAID 8909148 00

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