| NPI | 1841008299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMIE WALLACE Administrator 813-540-0242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 363LS0200X Nurse Practitioner, School | |
| 101YS0200X Counselor, School | |
| 103T00000X Psychologist | |
| 106H00000X Marriage & Family Therapist | |
| 104100000X Social Worker | |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2025-06-13 |