OrganizationActive
Easterseals Northeast Central Florida, Inc.
NPI 1699407015 · Developmental - Behavioral Pediatrics Physician · Daytona Beach, FL
Provider details
- NPI number
- 1699407015
- Entity type
- Organization
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Michele Wallens, Accounting Manager
Mailing address
1219 Dunn Ave
Daytona Beach, FL 32114-2405
Registry dates
- Enumerated
- 2022-06-24
- Last updated
- 2022-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.