Organization
EASTER SEALS FLORIDA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIKESHA BLAKE (CFO)
(407) 629-7881
Entity
Organization
Contact information
Practice address
2100 SE HILLMOOR DR STE 104, PORT ST LUCIE, FL 34952-8057
(772) 380-9972
(772) 380-9976
Mailing address
2010 CROSBY WAY, WINTER PARK, FL 32792-4119
(407) 629-7881
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111756900
—
FL
Enumeration date
02/24/2022
Last updated
11/21/2024
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