EASTER SEALS FLORIDA, INC. (NPI# 1659497386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659497386 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS FLORIDA, INC. |
| Practice Address |
7402 N 56th St Ste 906 Tampa FL 33617-7741 |
| Mailing Address |
520 N Semoran Blvd Ste 280 Orlando FL 32807-3383 |
| Practice Telephone | 8139887633 |
| Practice Fax Number | 8139140403 |
| Mailing Telephone | 4073069766 |
| Mailing Fax Number | 4073069767 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2014-10-31 |
| Authorized Official Name | MS. GLADYS G EPPS (CFO) |
| Authorized Official Telephone | 4073069766 |
| Is Organization Subpart | Y |
| Parent Organization Name | EASTER SEALS FLORIDA, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 880035900 | 05 | |
| FL | 880035901 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073710109 | Easter Seals Florida, Inc. | Home Health | 1675 Palm Beach Lakes Blvd Ste 200, West Palm Beach, FL 33401-2111 | 2007-07-02 |
| 1598881153 | Easter Seals Florida, Inc. | Clinic/Center | 2010 Mizell Ave, Winter Park, FL 32792-4119 | 2007-03-22 |
| 1134245889 | Easter Seals Florida, Inc. | Early Intervention Provider Agency | 213 S Congress Ave, West Palm Beach, FL 33409-3823 | 2007-03-22 |
| 1336333525 | Easter Seals Florida, Inc. | Nursing Care | 5220 College Rd, Key West, FL 33040-4302 | 2007-08-30 |
| 1891811469 | Easter Seals Florida, Inc. | Clinic/Center | 6050 Babcock St Se, Palm Bay, FL 32909-3996 | 2007-03-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EASTER SEALS FLORIDA, INC. | 2010 Crosby Way, Winter Park, FL 32792-4119 |
| Street Address |
7402 N 56TH ST STE 906 |
| City | TAMPA |
| State | FL |
| Zip Code | 33617-7741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154465573 | Catherine Diane Martin | Specialist | 7402 N 56th St Ste 906, Tampa, FL 33617-7741 | 2007-02-18 |
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|---|---|---|---|---|
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| 1467004804 | Favorite Care Services, LLC | In Home Supportive Care | 7628 N 56th St Ste 2, Tampa, FL 33617 | 2019-07-16 |
| 1982265625 | Promise Home Care Agency LLC | In Home Supportive Care | 315 Bahamas Ave, Tampa, FL 33617 | 2019-06-24 |
| 1164912754 | Superior Physician Group | Pain Medicine | 10730 N 56th St Ste 209, Temple Terrace, FL 33617 | 2018-05-18 |
| 1346738796 | Advanced Pain Management and Anesthesiology | Clinic/Center | 4209 E. Busch Blvd, Tampa, FL 33617 | 2018-05-01 |
| 1184112427 | Imperial Connections Support Programs, LLC | In Home Supportive Care | 9806 N Connechusett Rd, Tampa, FL 33617 | 2018-04-23 |
| 1609394204 | Erin E Sleeper | Behavior Technician | 418 Belle Claire Ave, Temple Terrace, FL 33617 | 2017-09-03 |
| 1720504293 | Robin A Kelly | Nurse's Aide | 7523 Pitch Pine Circle, Apt B, Tampa, FL 33617 | 2017-08-16 |
| 1174046023 | Rishita Amish Patel | Pharmacist | 532 Heritage Brook Cir, Apt #101, Temple Terrace, FL 33617 | 2017-07-24 |
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| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.