Provider Demographics
NPI:1689738536
Name:FLORIDA SCHOOL FOR THE DEAF AND THE BLIND
Entity Type:Organization
Organization Name:FLORIDA SCHOOL FOR THE DEAF AND THE BLIND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF RELATED SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:STAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GUSTETIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-827-2535
Mailing Address - Street 1:207 SAN MARCO AVE
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32084-2762
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:207 SAN MARCO AVE
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32084-2762
Practice Address - Country:US
Practice Address - Phone:904-827-2535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)