<Unavail>

LBN: Easterseals Northeast Central Florida
<Unavail> is an health care organization with primary practice located at 1219 Dunn Ave , Daytona Beach FL 32114. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Easterseals Northeast Central Florida can be contacted via phone (386) 255-4568, or through Johsnon, Beverly via phone (386) 255-4568.

Contact Information

Primary practice address
1219 Dunn Ave Daytona Beach FL 32114
Phone: (386) 255-4568
Fax: (386) 252-3403
Website:
Map and Directions
Authorized official contact:
Name: Johsnon, Beverly
Phone: (386) 255-4568

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1881898559
LBN Legal business name Easterseals Northeast Central Florida
DBA Doing business as <Unavail>
Authorized official Johsnon, Beverly
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2007
Last updated Apr 3rd, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881898559 NPPES
Florida MEDICAID 880172000

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