EASTERSEALS NORTHEAST CENTRAL FLORIDA (NPI# 1326183377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326183377 |
| Entity Type | Organization |
| Organization Name | EASTERSEALS NORTHEAST CENTRAL FLORIDA |
| Practice Address |
1219 Dunn Ave Daytona Beach FL 32114 |
| Mailing Address |
1219 Dunn Ave P.o. Box 9117 Daytona Beach FL 32114-2405 |
| Practice Telephone | 3862554568 |
| Practice Fax Number | 3862587677 |
| Mailing Telephone | 3862554568 |
| Mailing Fax Number | 3862587677 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2018-05-29 |
| Authorized Official Name | MRS. BEVERLY JOHNSON (CEO) |
| Authorized Official Telephone | 3862554568 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 34167 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 8907811 00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740782697 | Easterseals Northeast Central Florida | Behavioral Analyst | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2018-03-07 |
| 1881898559 | Easterseals Northeast Central Florida | Physical Therapist | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2007-06-14 |
| 1417092461 | Easterseals Northeast Central Florida | Speech-Language Pathologist | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2007-02-20 |
| 1336203702 | Easterseals Northeast Central Florida | Voluntary or Charitable | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2006-12-20 |
| 1376631747 | Easterseals Northeast Central Florida | Physical Therapist | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2006-10-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EASTERSEALS NORTHEAST CENTRAL FLORIDA | 1219 Dunn Avenue, Daytona Beach, FL 32114-2405 |
| Street Address |
1219 DUNN AVE |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225050289 | Audrey Susan Tyler | Speech-Language Pathologist | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2006-07-25 |
| 1164030532 | Easterseals Northeast Central Florida, Inc. | Community/Behavioral Health | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2020-07-21 |
| 1043838915 | Rebecca Roberts | Behavior Technician | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2020-07-08 |
| 1649897612 | Joy Rogers | Occupational Therapist | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2020-06-25 |
| 1447882139 | Jill Marie Baxter | Physical Therapy Assistant | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2020-02-10 |
| 1740822956 | Sharon Schwab | Occupational Therapy Assistant | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2019-10-09 |
| 1376104851 | Kimberly Jackson | Occupational Therapist | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2019-06-25 |
| 1619435146 | Onisha Johnson | Social Worker | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2019-03-04 |
| 1265905459 | Romina Henriquez | Social Worker | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2019-01-10 |
| 1174002463 | Crystal Rich | Social Worker | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2018-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039303 | Primary Healthcare Alliance Foundation Inc | Clinic/Center | 1445 Dunn Ave Ste B, Daytona Beach, FL 32114-1437 | 2020-07-02 |
| 1598119919 | Douglas F Lieb Md LLC | Clinic/Center | 1120 Beville Rd Ste E, Daytona Beach, FL 32114-5767 | 2016-04-21 |
| 1023213469 | Kemshol Medical Center Pa | Clinic/Center | 984 Orange Ave, Daytona Beach, FL 32114-4667 | 2007-06-16 |
| 1306910385 | Filutowski Eye Institute Pa | Clinic/Center | 110 Yorktowne Drive, Daytona Beach, FL 32119 | 2006-11-20 |
| 1427475490 | Nelson Chiropractic & Wellness Center LLC | Clinic/Center | 115 S Palmetto Ave, Daytona Beach, FL 32114-4319 | 2014-03-27 |
| 1346679610 | Coastal Spine and Sport of Daytona Beach | Clinic/Center | 912 S Ridgewood Ave, Ste. D, Daytona Beach, FL 32114-5349 | 2013-11-06 |
| 1811289358 | Arbor Vitae Natural Health Care, LLC | Clinic/Center | 116 Bay St, Daytona Beach, FL 32114-3234 | 2011-05-03 |
| 1801093851 | Dr John P Christensen P A | Clinic/Center | 542 N Ridgewood Ave, Wagner Building, Daytona Beach, FL 32114-2170 | 2007-07-02 |
| 1225046626 | Daytona Beach Va Outpaitent Clinic | Clinic/Center | 551 National Health Care Dr, Daytona Beach, FL 32114-1495 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356455 | Holistic Care LLC | Clinic/Center | 1108 Kane Concourse Ste 205, Bay Harbor Islands, FL 33154-2068 | 2020-11-05 |
| 1417558651 | Eclipse Wellness Center | Clinic/Center | 3015 S Congress Ave Ste 7, Palm Springs, FL 33461-2111 | 2020-11-04 |
| 1003416843 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 2465 N Orange Blossom Trail, Kissimmee, FL 34744 | 2020-10-30 |
| 1679173926 | Haven Medical Center, Inc. | Clinic/Center | 11961 N Florida Ave, Tampa, FL 33612-5213 | 2020-10-27 |
| 1134729494 | Anchor Plus Wellness Center, LLC | Clinic/Center | 5951 Nw 151st St Ste 205, Miami Lakes, FL 33014-2445 | 2020-10-27 |
| 1396344016 | Magic Steps Therapy LLC | Clinic/Center | 281 Nw 59th Ct, Miami, FL 33126-4749 | 2020-10-23 |
| 1194324046 | Fine Therapy and Rehab Center Corp | Clinic/Center | 10300 Sw 72nd St Ste 123, Miami, FL 33173-3001 | 2020-10-21 |
| 1659979243 | B&b Medical Center Inc | Clinic/Center | 219 Ne 8th Ave, Hialeah, FL 33010-5116 | 2020-10-15 |
| 1386242055 | A & P Therapy Services, LLC | Clinic/Center | 2061 Sw 150th Ave, Miami, FL 33185-5689 | 2020-10-14 |
| 1467059741 | Aaa Physicians Group | Clinic/Center | 109 Terra Mango Loop Ste B, Orlando, FL 32835-8511 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
Please comment or provide details below to improve the information on EASTERSEALS NORTHEAST CENTRAL FLORIDA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.