EASTERSEALS NORTHEAST CENTRAL FLORIDA (NPI# 1336203702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336203702 |
| Entity Type | Organization |
| Organization Name | EASTERSEALS NORTHEAST CENTRAL FLORIDA |
| Practice Address |
1219 Dunn Ave Daytona Beach FL 32114 |
| Mailing Address |
1219 Dunn Ave Daytona Beach FL 32114-2405 |
| Practice Telephone | 3862554568 |
| Mailing Telephone | 3862554568 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2018-05-29 |
| Authorized Official Name | BEVERLY JOHNSON (DIRECTOR) |
| Authorized Official Telephone | 3862554568 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251V00000X | Voluntary or Charitable | OT 424 | FL | Agencies |
| Y | 251V00000X | Voluntary or Charitable | OT424 | FL | Agencies |
| 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 |
| 1326183377 | Easterseals Northeast Central Florida | Clinic/Center | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2007-02-20 |
| 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 | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427385632 | Diggs Miracle Care of Volusia and Flagler Counties, Inc. | Voluntary or Charitable | 875 Dr Mary Mcleod Bethune Blvd, Suite B, Daytona Beach, FL 32114-3602 | 2009-11-09 |
| 1649668351 | Easterseals Northeast Central Florida, Inc. | Voluntary or Charitable | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2015-01-05 |
| 1023277571 | Presbyterian Counseling Center | Voluntary or Charitable | 430 Braddock Ave, Daytona Beach, FL 32118-4616 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951915 | San Thelmo Investment Group .inc Dba Villa Serena Vi | Voluntary or Charitable | 3901 Hardie Ave, Miami, FL 33133-6437 | 2020-10-26 |
| 1396344594 | A Barry Safe Place, Inc. | Voluntary or Charitable | 340 Royal Poinciana Way Ste 328, #1045, Palm Beach, FL 33480-4006 | 2020-10-20 |
| 1679112411 | The Local Health Council of East Central Florida, Inc. | Voluntary or Charitable | 5931 Brick Court, Suite 164, Winter Park, FL 32792 | 2019-12-26 |
| 1932741626 | Healthy Woman Women's Clinics of Florida, Inc. | Voluntary or Charitable | 2410 Mahan Dr Ste 1, Tallahassee, FL 32308-2305 | 2019-10-14 |
| 1306316443 | Peace On Earth Foundation Inc | Voluntary or Charitable | 1323 W Busch Blvd Ste B, Tampa, FL 33612-7766 | 2018-12-02 |
| 1205310596 | Caridad Center Inc | Voluntary or Charitable | 8645 W Boyton Beach Blvd, Boyton Beach, FL 33472 | 2018-09-21 |
| 1427573310 | Priority Love & Care, Inc. | Voluntary or Charitable | 7283 Old Middleburg Rd S, Jacksonville, FL 32222 | 2017-08-11 |
| 1679008007 | Michele Fleeter Dpm | Voluntary or Charitable | 5218 W Neptune Way, Tampa, FL 33609-3639 | 2017-04-24 |
| 1730611492 | Prestige Community Clinic Inc | Voluntary or Charitable | 110 W 7th St, Lakeland, FL 33805-4813 | 2017-03-31 |
| 1306387923 | River Counseling LLC | Voluntary or Charitable | 1647 Lakeview Dr, Sebring, FL 33870-7938 | 2017-03-15 |
| 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.