National Provider Identifier Database

EASTERSEALS NORTHEAST CENTRAL FLORIDA
Voluntary or Charitable


Contact Information

EASTERSEALS NORTHEAST CENTRAL FLORIDA
1219 DUNN AVE
DAYTONA BEACH, FL32114
Phone: 386-255-4568
Fax:
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for EASTERSEALS NORTHEAST CENTRAL FLORIDA

NPI Number 1336203702
Legal business name
LBN
EASTERSEALS NORTHEAST CENTRAL FLORIDA
Authorized official BEVERLY JOHNSON - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 12/20/2006
Last updated 04/03/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: OT 424
  • FL License #: OT424

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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