FLORIDA LIONS CONKLIN CTRS FOR THE BLIND (NPI# 1831536515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831536515 |
| Entity Type | Organization |
| Organization Name | FLORIDA LIONS CONKLIN CTRS FOR THE BLIND |
| Practice Address |
405 White St Daytona Beach FL 32114-2925 |
| Practice Telephone | 3862583441 |
| Practice Fax Number | 3862581155 |
| Mailing Telephone | 3862583441 |
| Mailing Fax Number | 3862581155 |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |
| Authorized Official Name | MR. ROBERT T KELLY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3862583441 |
| Authorized Official Credential | CRC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 099870202 | 05 | |
| FL | 673361196 | 05 |
| Street Address |
405 WHITE ST |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-2925 |
| 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 | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760835706 | Barbara Fuller | Early Intervention Provider Agency | 125 Cheshire Rd, Daytona Beach, FL 32118 | 2016-07-14 |
| 1548740475 | Rachel Schatzberg | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2018-08-20 |
| 1164917688 | Trakenya T Killins | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2018-06-27 |
| 1568979235 | Star Johnson | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2018-01-04 |
| 1891212130 | Brian Moore | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124 | 2017-08-28 |
| 1639696909 | Allie Ames | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2017-08-27 |
| 1790189264 | Michelle Marie Hudimac | Early Intervention Provider Agency | 201 Thornberry Branch Ln, Daytona Beach, FL 32124-3652 | 2014-10-13 |
| 1780099523 | Easterseals Northeast Central Florida, Inc. | Early Intervention Provider Agency | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2014-06-30 |
| 1386784429 | The Childrens Advocacy Center of Volusia & Flagler Counties | Early Intervention Provider Agency | 1011 W International Speedway Blvd, Daytona Beach, FL 32114-3421 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980561 | Paola Marisela Hernandez | Early Intervention Provider Agency | 6207 River Fruit Ct, Windermere, FL 34786-7325 | 2020-10-22 |
| 1770182966 | Maitelyn Salgado Sr. | Early Intervention Provider Agency | 145 Nw Central Park Plz Ste 104, Port St Lucie, FL 34986-2482 | 2020-10-20 |
| 1861007593 | Zena Figueroa Rios | Early Intervention Provider Agency | 4240 Prima Lago Dr, Lakeland, FL 33810-3063 | 2020-09-10 |
| 1679183974 | Impact Rehab LLC | Early Intervention Provider Agency | 10104 Sandywood Dr, Sanford, FL 32771-7246 | 2020-08-03 |
| 1235752460 | Wheat L L C | Early Intervention Provider Agency | 2627 Ne 203rd St Ste 109, Miami, FL 33180-1945 | 2020-05-21 |
| 1699397570 | Baruch Shem LLC | Early Intervention Provider Agency | 27802 Sw 134th Ct, Homestead, FL 33032-8256 | 2020-05-13 |
| 1710513023 | Lacy Bussey | Early Intervention Provider Agency | 700 N Courtenay Pkwy Apt 527, Merritt Island, FL 32953-5401 | 2020-03-18 |
| 1790310605 | Courtney M Lopez | Early Intervention Provider Agency | 6719 Ne 33rd Ct, Ocala, FL 34479-1423 | 2020-03-11 |
| 1942835152 | Robin M Boshnick | Early Intervention Provider Agency | 8540 Briar Rose Pt, Boynton Beach, FL 33473-7819 | 2020-03-08 |
| 1447884663 | Emily Garratt | Early Intervention Provider Agency | 8624 Primrose Dr, Kissimmee, FL 34747-1648 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
Please comment or provide details below to improve the information on FLORIDA LIONS CONKLIN CTRS FOR THE BLIND.
| 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.