Organization
EASTERSEALS OF SOUTHWEST FLORIDA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM WATERS (CEO)
(941) 355-7637
Entity
Organization
Contact information
Practice address
350 BRADEN AVE, SARASOTA, FL 34243-2001
(941) 355-7637
(941) 444-2271
Mailing address
350 BRADEN AVE, SARASOTA, FL 34243-2001
(941) 355-7637
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
880218100
—
FL
Enumeration date
01/25/2007
Last updated
05/18/2025
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