Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Easterseals Northeast Central Florida, Inc

Organization Psychiatry Physician · NPI 1184300436

Easterseals Northeast Central Florida, Inc is a Psychiatry Physician in New Smyrna Beach, 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.

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Practice location Address checks out

3804 Pioneer Trl
New Smyrna Beach, FL 32168-8784
Phone: (386) 944-7805
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
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1184300436
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Wallens — Accounting Manager · (386) 449-7805
NPI enumeratedJune 22, 2023
Last updated in NPPESNovember 8, 2023
Certification dateNovember 8, 2023
Mailing address1219 Dunn Ave, Daytona Beach, FL 32114-2405

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