EASTERSEALS NORTHEAST CENTRAL FLORIDA – Speech-Language Pathologist, NPI 1417092461

EASTERSEALS NORTHEAST CENTRAL FLORIDA is a healthcare provider. based in Daytona beach, Florida. specializing in Speech-Language Pathologist. The NPI Number for EASTERSEALS NORTHEAST CENTRAL FLORIDA is 1417092461

Main info

Organization
Name
EASTERSEALS NORTHEAST CENTRAL FLORIDA
NPI
1417092461
Phone
(386) 255-4568
Address
1219 DUNN AVE
Authorized Official
BEVERLY JOHNSON CHIEF EXECUTIVE OFFICER
Enumeration Date
20 February 2007
Last Update Date
29 May 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for EASTERSEALS NORTHEAST CENTRAL FLORIDA

  • 1219 DUNN AVE

    DAYTONA BEACH, FL 32114

    Phone: (386) 255-4568

    Fax: (386) 252-3403

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32114)

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Reviews

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Frequently asked questions

How do payers reference EASTERSEALS NORTHEAST CENTRAL FLORIDA?
For EASTERSEALS NORTHEAST CENTRAL FLORIDA, use NPI 1417092461 as the unique 10-digit identifier.
Is EASTERSEALS NORTHEAST CENTRAL FLORIDA still an active registrant?
EASTERSEALS NORTHEAST CENTRAL FLORIDA carries an active NPI according to the public dataset.
How would a patient describe EASTERSEALS NORTHEAST CENTRAL FLORIDA's focus?
For EASTERSEALS NORTHEAST CENTRAL FLORIDA, the primary taxonomy reads as Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for EASTERSEALS NORTHEAST CENTRAL FLORIDA?
Travel planning: use Daytona Beach, Florida as the reference point for EASTERSEALS NORTHEAST CENTRAL FLORIDA, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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