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Organization
EASTERSEALS NORTHEAST CENTRAL FLORIDA, INC.
Active
Organization
EASTERSEALS NORTHEAST CENTRAL FLORIDA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA MONACO (OFFICE MANAGER)
(386) 255-4568
Entity
Organization
Contact information
Practice address
3804 PIONEER TRL, NEW SMYRNA BEACH, FL 32168-8784
(386) 255-4568
(386) 258-7677
Mailing address
1219 DUNN AVE, DAYTONA BEACH, FL 32114-2405
(386) 944-7805
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/28/2023
Last updated
03/07/2025
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