Easterseals Northeast Central Florida, Inc
Easterseals Northeast Central Florida, Inc is a Developmental - Behavioral Pediatrics Physician in Palm Coast, Florida. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
160 Cypress Point Pkwy Ste B205Palm Coast, FL 32164-8437
Phone: (386) 878-4220
Fax: (386) 258-7677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|---|
| Developmental - Behavioral Pediatrics Physician | Taxonomy 2080P0006X |
Record details
| NPI number | 1003517715 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michele Wallens — Accounting Manager · (386) 255-4568 |
| NPI enumerated | March 10, 2023 |
| Last updated in NPPES | July 22, 2024 |
| Certification date | July 22, 2024 |
| Mailing address | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 |