EASTERSEALS NORTHEAST CENTRAL FLORIDA; NPI #1336203702

Contact Information

EASTERSEALS NORTHEAST CENTRAL FLORIDA

1219 DUNN AVE
DAYTONA BEACH, FL 32114

Phone: 386-255-4568
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]

Indicates primary specialty

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NPI Profile & details for EASTERSEALS NORTHEAST CENTRAL FLORIDA

NPI Number 1336203702

LBN Legal business name EASTERSEALS NORTHEAST CENTRAL FLORIDA

Authorized official BEVERLY JOHNSON - (DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/20/2006

Last updated 04/03/2023 - About 3 years ago

Identifiers

FL	License #	OT 424
FL	License #	OT424

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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EASTERSEALS NORTHEAST CENTRAL FLORIDA

Contact Information

Specialty

Voluntary or Charitable

NPI Profile & details for EASTERSEALS NORTHEAST CENTRAL FLORIDA

Reviews for EASTERSEALS NORTHEAST CENTRAL FLORIDA