OrganizationActive
Easterseals Northeast Central Florida, Inc.
NPI 1992406607 · Developmental - Behavioral Pediatrics Physician · New Smyrna Beach, FL
Provider details
- NPI number
- 1992406607
- Entity type
- Organization
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Michele Wallens, Accounting Manager
Practice location
3804 Pioneer Trl
New Smyrna Beach, FL 32168-8784
Phone: (386) 944-7805
Fax: (386) 258-7677
Mailing address
1219 Dunn Ave
Daytona Beach, FL 32114-2405
Registry dates
- Enumerated
- 2023-03-10
- Last updated
- 2023-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.