Organization
EASTERSEALS NORTHEAST CENTRAL FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY JOHNSON (CEO)
(386) 255-4568
Entity
Organization
Contact information
Practice address
650 W NEW YORK AVE, DELAND, FL 32720-5239
(386) 255-4568
(386) 258-7677
Mailing address
1219 DUNN AVE, P.O. BOX 9117, DAYTONA BEACH, FL 32114-2405
(386) 255-4568
(386) 258-7677
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
34167
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8907811 00
—
FL
Enumeration date
02/20/2007
Last updated
04/03/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up