Organization
EASTER SEALS SOUTH FLORIDA, INC.
Active
Other names
Easter Seals Therapeutic Day Care-Hialeah
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILA ROCHA (PRESIDENT/CEO)
(305) 547-4757
Entity
Organization
Contact information
Practice address
1475 NW 14TH AVE, MIAMI, FL 33125-1616
(305) 325-0470
(786) 422-1005
Mailing address
1475 NW 14TH AVE., MIAMI, FL 33125
(305) 325-0470
(305) 325-0578
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
302F00000X
Exclusive Provider Organization
8960
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
880264500
—
FL
Enumeration date
11/20/2006
Last updated
09/26/2024
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