Healthcare Provider Details

I. General information

NPI: 1356198949
Provider Name (Legal Business Name): COMMUNICATION CORNER AND MORE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2024
Last Update Date: 10/03/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

296 S FERDON BLVD
CRESTVIEW FL
32536-3702
US

IV. Provider business mailing address

17718 HUNTING BOW CIR
LUTZ FL
33558-5322
US

V. Phone/Fax

Practice location:
  • Phone: 850-612-2170
  • Fax:
Mailing address:
  • Phone: 813-973-1003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANNIE FISCHER
Title or Position: VP OF OPERATIONS
Credential:
Phone: 954-445-3064