Easterseals Northeast Central Florida, Inc.

LBN: Easterseals Northeast Central Florida, Inc.
Easterseals Northeast Central Florida, Inc. is an health care organization with primary practice located at 1219 Dunn Ave , Daytona Beach FL 32114. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as the primary health care specialty. Easterseals Northeast Central Florida, Inc. can be contacted via phone (386) 255-4568, or through Johnson, Beverly via phone (386) 255-4568.

Contact Information

Primary practice address
1219 Dunn Ave Daytona Beach FL 32114
Phone: (386) 255-4568
Fax: (386) 258-7677
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Beverly
Phone: (386) 255-4568

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1336202522
LBN Legal business name Easterseals Northeast Central Florida, Inc.
DBA Doing business as
Authorized official Johnson, Beverly
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Apr 3rd, 2023 - about last year

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 1336202522 NPPES
Florida MEDICAID 087109500

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