NPI 1386823599

Eastwinds of Florida INC.

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility St Petersburg, FL

Practice location

Address: 112 12th Ave N, St Petersburg, FL 33701-1826
Phone: (727) 821-8510
Mailing address: 1725 Robinhood Ln, Clearwater, FL 33764-6449

Authorised official

Name: Floyd M. McKenzie
Title: Administrator
Phone: (727) 821-8510

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence AL5405 (FL)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Florida →

Registry record

NPI: 1386823599
Entity type: Organization
NPI issued: 24 Oct 2007
Record last updated: 19 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.