Organization
EASTER SEALS SOUTHWEST FLORIDA
Active
Organization
EASTER SEALS SOUTHWEST FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM LADDISON WALDO CPA (PRESIDENT & CEO)
(941) 355-7637
Entity
Organization
Contact information
Practice address
350 BRADEN AVE, SARASOTA, FL 34243-2001
(941) 355-7637
(941) 359-1555
Mailing address
350 BRADEN AVE, SARASOTA, FL 34243-2001
(941) 355-7637
(941) 359-1555
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
FL
252Y00000X
Early Intervention Provider Agency
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811760800
—
FL
05
—
880218100
—
FL
Enumeration date
05/26/2011
Last updated
05/26/2011
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