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Organization
EASTER SEALS FLORIDA, INC.
Active
Organization
EASTER SEALS FLORIDA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIKESHA BLAKE (CFO)
(407) 287-5185
Entity
Organization
Contact information
Practice address
31600 CAMP CHALLENGE RD, SORRENTO, FL 32776-9558
(352) 383-4711
(352) 383-0744
Mailing address
2010 CROSBY WAY, WINTER PARK, FL 32792-4119
(407) 629-7881
(407) 629-4754
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123674700
—
FL
Enumeration date
08/20/2024
Last updated
02/26/2025
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