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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
7990 SW 117TH AVE STE 125, MIAMI, FL 33183-3845
(305) 929-8705
(305) 600-3713
Mailing address
2010 CROSBY WAY, WINTER PARK, FL 32792-4119
(407) 629-7881
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
—
111873300
—
FL
05
—
892255101
—
FL
Enumeration date
09/03/2021
Last updated
11/22/2024
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