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General NPI Number Information
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NPI Number | 1366643892
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Entity Type | Organization
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Legal Business Name | EASTER SEALS FLORIDA INC
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 02/05/2021
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Provider Practice Location Address
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Address Line | 8793 TAMIAMI TRL E STE 111
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City | NAPLES
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State | FL
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Zip | 34113-3322
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Country | US
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Telephone | 239-403-0366
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Fax | 239-403-0368
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Provider Business Mailing Address
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Address Line | 2010 CROSBY WAY
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City | WINTER PARK
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State | FL
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Zip | 32792-4119
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Country | US
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Telephone | 407-629-7881
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Fax | 407-629-4754
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Authorized Official
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Title or Position | CFO
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Name | MS. RIKESHA BLAKE
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Credential |
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Telephone | 407-629-7881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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