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Organization
EASTER SEALS FLORIDA, INC.
Active
Organization
EASTER SEALS FLORIDA, INC.
Active
Parent organization
EASTER SEALS FLORIDA, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
EASTER SEALS FLORIDA, INC.
Authorized official
MS. RIKESHA BLAKE (CFO)
(407) 629-7881
Entity
Organization
Contact information
Practice address
2100 SE HILLMOOR DR STE 104, PORT ST LUCIE, FL 34952-8057
(772) 380-9972
(772) 380-9976
Mailing address
2010 CROSBY WAY, WINTER PARK, FL 32792-4119
(407) 629-7881
(407) 629-4754
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
261Q00000X
Clinic/Center
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111666600
—
FL
05
—
892255102
—
FL
Enumeration date
03/22/2007
Last updated
11/21/2024
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