Provider Demographics
NPI:1508077330
Name:BREVARD COUNTY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:BREVARD COUNTY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR EXED PROGRAM SUPPORT
Authorized Official - Prefix:MS
Authorized Official - First Name:EVA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-633-1000
Mailing Address - Street 1:2700 JUDGE FRAN JAMIESON WAY
Mailing Address - Street 2:
Mailing Address - City:VIERA
Mailing Address - State:FL
Mailing Address - Zip Code:32940-6601
Mailing Address - Country:US
Mailing Address - Phone:321-633-1000
Mailing Address - Fax:321-631-3589
Practice Address - Street 1:2700 JUDGE FRAN JAMIESON WAY
Practice Address - Street 2:
Practice Address - City:VIERA
Practice Address - State:FL
Practice Address - Zip Code:32940-6601
Practice Address - Country:US
Practice Address - Phone:321-633-1000
Practice Address - Fax:321-631-3589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)