Organization · NPI-2

Easterseals Florida, INC.

Clinic/Center · Daytona Beach, FL

NPI number1730021171
StatusActive
Last updated in NPPESAug 10, 2026

Details

NPI
1730021171
Entity type
Organization (NPI-2)
Legal business name
Easterseals Florida, INC.
Organization subpart
No
Enumeration date
Apr 6, 2026
Certification date
Aug 10, 2026
Last updated
Aug 10, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes
103K00000X Behavior Analyst––
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics––
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry––
225100000X Physical Therapist––
225X00000X Occupational Therapist––
231H00000X Audiologist––
235Z00000X Speech-Language Pathologist,––
251S00000X Community/Behavioral Health––

Practice location

1219 Dunn Ave
Daytona Beach, FL 32114-2405

Phone 386-255-4568 · Fax 386-252-3403

Mailing address

125 N Ridgewood Ave Ste 300
Daytona Beach, FL 32114-3284

Phone 386-944-7802

Other practice locations

3804 Pioneer Trl
New Smyrna Beach, FL 32168-8784

Phone 386-262-8538

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

Phone 386-878-4220

3389 N State St Unit 1
Bunnell, FL 32110-4340

Phone 386-271-2130

650 W New York Ave
Deland, FL 32720-5239

Phone 386-255-4568

Authorized official

Rikesha Blake
Cfo
4072875185

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