Healthcare Provider Details

I. General information

NPI: 1770898223
Provider Name (Legal Business Name): DADE COUNTY SCHOOL SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2010
Last Update Date: 08/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 TRADITION LN
TRENTON GA
30752-2667
US

IV. Provider business mailing address

PO BOX 799
WHITE SPRINGS FL
32096-0799
US

V. Phone/Fax

Practice location:
  • Phone: 707-657-4359
  • Fax:
Mailing address:
  • Phone:
  • 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: JOHN VASSAR
Title or Position: BILLING ADMINISTRATOR
Credential:
Phone: 386-884-9900