Provider Demographics
NPI:1497831028
Name:SUMTER COUNTY SCHOOL BOARD
Entity Type:Organization
Organization Name:SUMTER COUNTY SCHOOL BOARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ESE SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:N
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:352-793-2315
Mailing Address - Street 1:2680 W C 476
Mailing Address - Street 2:BLDG #3
Mailing Address - City:BUSHNELL
Mailing Address - State:FL
Mailing Address - Zip Code:33513-3574
Mailing Address - Country:US
Mailing Address - Phone:352-793-2315
Mailing Address - Fax:352-793-1612
Practice Address - Street 1:2680 W C 476
Practice Address - Street 2:BLDG #3
Practice Address - City:BUSHNELL
Practice Address - State:FL
Practice Address - Zip Code:33513-3574
Practice Address - Country:US
Practice Address - Phone:352-793-2315
Practice Address - Fax:352-793-1612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)