NPIMap

Easterseals Northeast Central Florida, Inc.

Organization Active NPI Multi-Specialty Clinic/Center · Deland, FL

NPI 1891546065 · NPPES record last updated Mar 27, 2024

Key facts

NPI
1891546065
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
EASTERSEALS NORTHEAST CENTRAL FLORIDA, INC.
Practice address
650 W New York Ave
Deland, FL 32720-5239
Phone
(386) 255-4568
Fax
(386) 258-7677
NPI assigned
Mar 27, 2024
Organization subpart
No

Authorized official

Name
Michele Wallens
Title
Accounting Manager
Phone
(386) 255-4568

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Easter Seal Society (25 organizations share this tax ID)

Locations

650 W New York Ave
Deland, FL 32720
Phone (386) 255-4568

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225X00000X
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP		 235Z00000X
Multi-Specialty Clinic/Center 261QM1300X Yes
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

650 W New York Ave
Deland, FL 32720-5239

Mailing address

1219 Dunn Ave
Daytona Beach, FL 32114-2405
Phone (386) 255-4568

Other providers in Deland, FL

All providers in Deland, FL · Multi-Specialty Clinic/Center in Florida

Sources for this page

Verify at the official NPI Registry.