Organization
EASTERSEALS NORTHEAST CENTRAL FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY JOHNSON (DIRECTOR)
(386) 255-4568
Entity
Organization
Contact information
Practice address
1219 DUNN AVE, DAYTONA BEACH, FL 32114
(386) 255-4568
Mailing address
1219 DUNN AVE, DAYTONA BEACH, FL 32114-2405
(386) 255-4568
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
OT 424
FL
251V00000X
Voluntary or Charitable Agency
Primary
OT424
FL
Other
Enumeration date
12/20/2006
Last updated
04/03/2023
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