Organization
EASTER SEALS FLORIDA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RIKESHA BLAKE (CFO)
(407) 629-7881
Entity
Organization
Contact information
Practice address
2475 PALM BAY RD NE STE 110, PALM BAY, FL 32905-3317
(321) 723-4474
(321) 676-3843
Mailing address
2010 CROSBY WAY, WINTER PARK, FL 32792-4119
(407) 629-7881
(407) 629-4754
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
347E00000X
Transportation Broker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
681859500
—
FL
05
—
682478196
—
FL
05
—
682478198
—
FL
Enumeration date
03/22/2007
Last updated
11/21/2024
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