Organization
ACADEMY SCHOOL OF EXCELLENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS R MATHIS M.A., (DIRECTOR/OWNER)
(954) 478-5835
Entity
Organization
Contact information
Practice address
1161 SW 30TH AVE, FT LAUDERDALE, FL 33312-2856
(954) 504-3407
(754) 200-7485
Mailing address
517 NW 16TH AVE, FT LAUDERDALE, FL 33311-8851
(954) 504-3407
(754) 200-7485
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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