EASTER SEALS FLORIDA INC. NPI 1912676792

NPI Information

NPI: 1912676792
Provider Name: EASTER SEALS FLORIDA, INC.
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
2002 NW 36TH AVE
GAINESVILLE, FL
ZIP 32605
Phone: (352) 377-7708
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EASTER SEALS FLORIDA, INC. is an adult day care clinic center in Gainesville, FL. EASTER SEALS FLORIDA, INC. NPI is 1912676792. The provider is registered as an organization entity type.

The provider's business location address is:

2002 NW 36TH AVE
GAINESVILLE, FL
ZIP 32605-493
Phone: (352) 377-7708
Fax: (352) 337-9622

The provider's authorized official is Rikesha Blake .
The authorized official title is Cfo and has the following contact phone number (561) 881-2822.

The enumeration date for this NPI number is 9/7/2021 and was last updated on 2/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	113301000	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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