Healthcare Provider Details

I. General information

NPI: 1285769430
Provider Name (Legal Business Name): ESCAMBIA COUNTY PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 EAST TEXAR DRIVE
PENSACOLA FL
32503
US

IV. Provider business mailing address

30 EAST TEXAR DRIVE
PENSACOLA FL
32503
US

V. Phone/Fax

Practice location:
  • Phone: 850-469-5514
  • Fax:
Mailing address:
  • Phone: 850-469-5514
  • 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: MRS. SANDRA WARD
Title or Position: COORDINATOR SCHOOL COODINATOR
Credential:
Phone: 850-469-5514