Easterseals Northeast Central Florida, Inc
Easterseals Northeast Central Florida, Inc is a Developmental - Behavioral Pediatrics Physician in Daytona Beach, Florida. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1219 Dunn AveDaytona Beach, FL 32114-2405
Phone: (386) 944-7805
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental - Behavioral Pediatrics Physician (primary) | Taxonomy 2080P0006X |
|---|
Record details
| NPI number | 1699407015 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michele Wallens — Accounting Manager · (386) 255-4568 |
| NPI enumerated | June 24, 2022 |
| Last updated in NPPES | June 24, 2022 |
| Certification date | June 24, 2022 |
| Mailing address | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 |