Organization
SANTA ROSA BOARD OF PUBLIC INSTRUCTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FRANCES RHEBA MASON (MEDICAID SPECIALIST)
(850) 983-5151
Entity
Organization
Contact information
Practice address
6751 BERRYHILL ST, MILTON, FL 32570-4790
(850) 983-5151
(850) 983-5577
Mailing address
6751 BERRYHILL ST, MILTON, FL 32570-4790
(850) 983-5151
(850) 983-5577
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081005301
—
FL
Enumeration date
02/07/2007
Last updated
01/30/2009
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