Healthcare Provider Details

I. General information

NPI: 1205742046
Provider Name (Legal Business Name): SUMTER COUNTY SCHOOL BOARD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2680 W COUNTY ROAD 476
BUSHNELL FL
33513-3574
US

IV. Provider business mailing address

2680 W COUNTY ROAD 476
BUSHNELL FL
33513-3574
US

V. Phone/Fax

Practice location:
  • Phone: 352-793-2315
  • Fax:
Mailing address:
  • Phone: 352-793-2315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: ROBIN MEYERS
Title or Position: ESE DIRECTOR
Credential:
Phone: 352-793-2315