Provider Demographics
NPI:1316019201
Name:SCHOOL DISTRICT OF PALM BEACH COUNTY
Entity Type:Organization
Organization Name:SCHOOL DISTRICT OF PALM BEACH COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAID SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:NITTOLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-434-8366
Mailing Address - Street 1:3378 FOREST HILL BLVD STE A203
Mailing Address - Street 2:EXCEPTIONAL STUDENT EDUCATION
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-5870
Mailing Address - Country:US
Mailing Address - Phone:561-434-8366
Mailing Address - Fax:561-434-8384
Practice Address - Street 1:3378 FOREST HILL BLVD STE A203
Practice Address - Street 2:EXCEPTIONAL STUDENT EDUCATION
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-5870
Practice Address - Country:US
Practice Address - Phone:561-434-8366
Practice Address - Fax:561-434-8384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)