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Organization
EASTERSEALS NORTHEAST CENTRAL FLORIDA
Active
Organization
EASTERSEALS NORTHEAST CENTRAL FLORIDA
Active
Other names
Easter Seals of Volusia and Flagler
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY JOHSNON (CEO)
(386) 255-4568
Entity
Organization
Contact information
Practice address
1219 DUNN AVE, DAYTONA BEACH, FL 32114
(386) 255-4568
(386) 252-3403
Mailing address
1219 DUNN AVE, DAYTONA BEACH, FL 32114-2405
(386) 255-4568
(386) 252-3403
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
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/14/2007
Last updated
04/03/2023
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