MEDICARE: EASII ENTERPRISES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2080P0006X	Developmental - Behavioral Pediatrics Physician
2	2080P0008X	Pediatric Neurodevelopmental Disabilities Physician
3	225XP0200X	Pediatric Occupational Therapist
4	235Z00000X	Speech-Language Pathologist
5	261QD1600X	Developmental Disabilities Clinic/Center
6	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1427877992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EASII ENTERPRISES INC.

Provider Business Mailing Address
First Line	:	17407 BRIDGE HILL CT # BC
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-3522
Country	:	US
Telephone Number	:	813-892-1715
Fax Number	:

Provider Business Practice Location Address
First Line	:	17407 BRIDGE HILL CT # BC
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-3522
Country	:	US
Telephone Number	:	813-892-1715
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	EDWIN ALEXANDER SMITH JR.
Credential	:
Telephone Number	:	813-892-1715

Provider Enumeration Date	:	10/10/2024
Last Update Date	:	06/12/2025

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