Organization
EASTERSEALS FLORIDA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIKESHA BLAKE (CFO)
(407) 287-5185
Entity
Organization
Contact information
Practice address
1219 DUNN AVE, DAYTONA BEACH, FL 32114-2405
(386) 255-4568
(386) 252-3403
Mailing address
125 N RIDGEWOOD AVE STE 300, DAYTONA BEACH, FL 32114-3284
(386) 944-7802
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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