OrganizationActive
Fdlrs/Gateway
NPI 1942600580 · Early Intervention Provider Agency · Jasper, FL
Provider details
- NPI number
- 1942600580
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Carol Milton, Project Coordinator(386) 792-2877
- License
- 9188843 (FL)
Specialties & taxonomies
Agencies
Practice location
5683 US Highway 129 S
Jasper, FL 32052-6793
Phone: (386) 792-2877
Approximate (ZIP-level) locationGet directions
Mailing address
5683 US Highway 129 S
Jasper, FL 32052-6793
Registry dates
- Enumerated
- 2014-09-02
- Last updated
- 2014-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.