Organization · NPI-2
Easterseals Florida, INC.
Clinic/Center · Palm Coast, FL
NPI number1962344317
StatusActive
Last updated in NPPESApr 6, 2026
Details
- NPI
- 1962344317
- Entity type
- Organization (NPI-2)
- Legal business name
- Easterseals Florida, INC.
- Organization subpart
- No
- Enumeration date
- Apr 6, 2026
- Certification date
- Apr 6, 2026
- Last updated
- Apr 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
160 Cypress Point Pkwy Ste B205Palm Coast, FL 32164-8437
Phone 386-878-4220 · Fax 386-258-7677
Mailing address
125 N Ridgewood Ave Ste 300Daytona Beach, FL 32114-3284
Phone 386-944-7802
Authorized official
Rikesha Blake
Cfo
4072875185
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