# EASTER SEALS FLORIDA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EASTER SEALS FLORIDA, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134245889
- **Legal business name:** EASTER SEALS FLORIDA, INC.
- **Authorized official:** MS. RIKESHA BLAKE (CFO)
- **Authorized official phone:** (407) 629-7881

## Contact information

- **Practice address:** 2100 SE HILLMOOR DR STE 104, PORT ST LUCIE, FL 34952-8057
- **Practice address phone:** (772) 380-9972
- **Practice address fax:** (772) 380-9976
- **Mailing address:** 2010 CROSBY WAY, WINTER PARK, FL 32792-4119
- **Mailing address phone:** (407) 629-7881
- **Mailing address fax:** (407) 629-4754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 11/21/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 111666600 | — | FL |
| 05 | — | 892255102 | — | FL |