Active NPI
Easterseals Florida, Inc.
- Early Intervention Provider Agency
- Titusville, FL
National Provider Identifier
1679415186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- EASTERSEALS FLORIDA, INC.
- Practice address
- 5650 S Washington Ave
Titusville, FL 32780-7312 - Phone
- (321) 634-3688
- NPI assigned
- Apr 6, 2026
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Rikesha Blake
- Title
- Cfo
- Phone
- (407) 287-5185
National Provider Directory
National Provider Directory- Tax ID family
- Easterseals Florida Inc
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Locations
125 N Ridgewood Ave
Ste 300
Daytona Beach, FL 32114
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5650 S Washington Ave
Titusville, FL 32780-7312
Mailing address
125 N Ridgewood Ave Ste 300
Daytona Beach, FL 32114-3284
Phone (386) 944-7802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 6, 2026.
{
"created_epoch": "1775433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775433600000",
"number": "1679415186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 N RIDGEWOOD AVE STE 300",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321143284",
"telephone_number": "386-944-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5650 S WASHINGTON AVE",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327807312",
"telephone_number": "321-634-3688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERSEALS FLORIDA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-06",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A",
"authorized_official_last_name": "BLAKE",
"authorized_official_first_name": "RIKESHA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "407-287-5185"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Titusville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.