Organization · Type 2 NPI

Easterseals Northeast Central Florida, Inc.

Clinic/Center · Palm Coast, FL

NPI number 1952139974 Active

Practice location

160 Cypress Point Pkwy Ste B205
Palm Coast, FL 32164-8437

Call (386) 878-4220 Map

Fax (386) 258-7677

Mailing address

1219 Dunn Ave
Daytona Beach, FL 32114-2405

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

5 other providers at this address

Other clinic/center providers in Palm Coast

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NPI record

NPI: 1952139974
Entity type: Organization (Type 2)
Issued: Jul 22, 2024
Last updated: Jul 22, 2024
Status: Active
Subpart: Yes of Easterseals Northeast Central Florida, Inc.

Other names

Easterseals Northeast Central Florida, Inc. · doing business as

Authorized official

Michele Wallens
Accounting Manager
(386) 255-4568

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1952139974

Easterseals Northeast Central Florida, Inc.'s National Provider Identifier is 1952139974, issued on Jul 22, 2024. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Palm Coast, FL. The record was last updated on Jul 22, 2024.