EASTERSEALS NORTHEAST CENTRAL FLORIDA, INC. - NPI 1073387387

Q: What is Easterseals Northeast Central Florida, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

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About Easterseals Northeast Central Florida, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTERSEALS NORTHEAST CENTRAL FLORIDA, INC. (NPI 1073387387) is a healthcare organization registered as a multi-specialty in Bunnell, Florida and active in the NPI registry since November 2023. The organization lists Michele Wallens, Accounting Manager, as its authorized official.

NPPES Registry Identity

NPI1073387387

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameEASTERSEALS NORTHEAST CENTRAL FLORIDA, INC.

Location Address3389 N STATE ST UNIT 1Bunnell, FL 32110-4340

Mailing Address1219 Dunn AveDaytona Beach, FL 32114-2405 · (386) 944-7805 · Fax (386) 258-7677

Phone(386) 255-4568

Fax(386) 258-7677

Organization SubpartNo

Authorized OfficialMichele WallensAccounting Manager · (386) 255-4568

Enumeration DateNovember 8, 2023

NPPES CertifiedNovember 8, 2023

✔ NPI 1073387387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

3389 N STATE ST UNIT 1, Bunnell, FL 32110

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EASTERSEALS NORTHEAST CENTRAL FLORIDA, INC.

Community/Behavioral Health

3389 N STATE ST UNIT 1
BUNNELL, FL 32110

Flagler County (386) 255-4568

EASTERSEALS NORTHEAST CENTRAL FLORIDA, INC.

Behavior Analyst

3389 N STATE ST UNIT 1
BUNNELL, FL 32110

Flagler County (386) 255-4568

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Easterseals Northeast Central Florida, Inc.'s NPI number?

The NPI number for Easterseals Northeast Central Florida, Inc. is 1073387387. It was assigned to this organization in the NPPES registry on November 8, 2023.

Where is Easterseals Northeast Central Florida, Inc. located?

Easterseals Northeast Central Florida, Inc. is located at 3389 N State St Unit 1, Bunnell, FL 32110. The listed phone number is (386) 255-4568.

What is Easterseals Northeast Central Florida, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Easterseals Northeast Central Florida, Inc. was last updated on November 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.